Organization
CENTER FOR BEHAVIORAL MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH HOUPT (CREDENTIALING)
(517) 676-9797
Entity
Organization
Contact information
Practice address
1466 E SAINT JOE HWY, GRAND LEDGE, MI 48837-9719
(231) 944-6139
Mailing address
PO BOX 10, MASON, MI 48854-0010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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