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Organization
BEHAVIOR WORKSHOP (BWS)
Active
Organization
BEHAVIOR WORKSHOP (BWS)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRONE BRIDGES (FOUNDER/PROGRAM DIRECTOR)
(734) 444-4841
Entity
Organization
Contact information
Practice address
215 N LINCOLN ST, YPSILANTI, MI 48198-2955
(734) 444-4841
Mailing address
215 N LINCOLN ST, YPSILANTI, MI 48198-2955
(734) 444-4841
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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