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Organization
GREAT LAKES BEHAVIOR MANAGEMENT SPECIALISTS, INC.
Active
Organization
GREAT LAKES BEHAVIOR MANAGEMENT SPECIALISTS, INC.
Active
Other names
Great Lakes Behavior Management Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M GROFF (PRESIDENT)
(574) 231-6766
Entity
Organization
Contact information
Practice address
6910 N MAIN ST UNIT 13, GRANGER, IN 46530-9681
(574) 231-6766
(833) 249-2411
Mailing address
52021 CLOVERLEAF DR W, SOUTH BEND, IN 46637-6034
(574) 274-5173
(833) 249-2411
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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