Organization
BLUEPRINT FOR SUCCESS LLC
Active
Other names
BLUEPRINT FOR SUCCESS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WARD (OWNER)
(937) 723-0142
Entity
Organization
Contact information
Practice address
117 E LIBERTY ST, SPRINGFIELD, OH 45505-1935
(937) 937-0142
(855) 300-5330
Mailing address
117 E LIBERTY ST, SPRINGFIELD, OH 45505-1935
(937) 937-0142
(855) 300-5330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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