Organization
ABC INTERVENTION SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LEROUX (OWNER)
(989) 686-8901
Entity
Organization
Contact information
Practice address
103 SPRING ST, KAWKAWLIN, MI 48631-9208
(989) 686-8901
Mailing address
PO BOX 17, KAWKAWLIN, MI 48631-0017
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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