Organization
SOUTH BEND BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA SMITH MBA (CEO)
(843) 609-5885
Entity
Organization
Contact information
Practice address
701 N NILES AVE, SOUTH BEND, IN 46617-1923
(843) 609-5885
Mailing address
701 N NILES AVE, SOUTH BEND, IN 46617-1923
(843) 609-5885
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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