Organization
AUTISM CENTER OF NORTHERN MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN P BOUDREAU MS BCBA (OWNER)
(231) 497-0555
Entity
Organization
Contact information
Practice address
990 GARFIELD WOODS DR STE B, TRAVERSE CITY, MI 49686-5160
(231) 497-0555
Mailing address
990 GARFIELD WOODS DR STE B, TRAVERSE CITY, MI 49686-5160
(231) 497-0555
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-09-5852
MI
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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