Organization
PRAIRIE VIEW THERAPEUTIC GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED HAYDEN (DIRECTOR/OWNER)
(574) 936-2241
Entity
Organization
Contact information
Practice address
703 W JEFFERSON ST, PLYMOUTH, IN 46563-1651
(574) 936-2241
Mailing address
703 W JEFFERSON ST, PLYMOUTH, IN 46563-1651
(574) 936-2241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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