Organization
BLR TRILLIUM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH LEE RIDEOUT LBSW (OWNER)
(231) 392-4752
Entity
Organization
Contact information
Practice address
2265 WEST CARRIAGE HILL DRIVE, TRAVERSE CITY, MI 49686
(231) 392-4752
Mailing address
2265 WEST CARRIAGE HILL DRIVE, TRAVERSE CITY, MI 49686
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6802085446
MI
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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