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Organization
BLUEPRINT FOR SUCCESS LLC
Active
Organization
BLUEPRINT FOR SUCCESS LLC
Active
Other names
BLUEPRINT FOR SUCCESS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WARD (OWNER)
(937) 723-0142
Entity
Organization
Contact information
Practice address
117 E LIBERTY ST, SPRINGFIELD, OH 45505-1935
(937) 937-0142
(855) 300-5330
Mailing address
117 E LIBERTY ST, SPRINGFIELD, OH 45505-1935
(937) 937-0142
(855) 300-5330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
—
NULL
251B00000X
Case Management Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QM2500X
Medical Specialty Clinic/Center
—
NULL
261QM2800X
Methadone Clinic
—
NULL
261QP2400X
Prison Health Clinic/Center
—
NULL
261QR1100X
Research Clinic/Center
—
NULL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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