Organization
GREAT LAKES BEHAVIOR MANAGEMENT SPECIALISTS, INC.
Active
Other names
Great Lakes Behavior Management Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M GROFF (PRESIDENT)
(574) 231-6766
Entity
Organization
Contact information
Practice address
6910 N MAIN ST UNIT 13, GRANGER, IN 46530-9681
(574) 231-6766
(833) 249-2411
Mailing address
52021 CLOVERLEAF DR W, SOUTH BEND, IN 46637-6034
(574) 274-5173
(833) 249-2411
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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