Sanford Behavioral Health Outpatient LLC

NPI #1679201271 in Marne, Michigan

Provider Information

NPI Number: 1679201271
Entity Type: Organization
Organization Name: Sanford Behavioral Health Outpatient LLC
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Aug 11, 2022
Last Updated: Aug 29, 2022

Practice Location

Address: 15146 16TH AVE
City: Marne
State: Michigan
ZIP Code: 49435-9605
Phone: (844) 776-9651

Authorized Official

Name: STEPHANIE ROBINSON
Title: CREDENTIALING & CONTRACTING MANAGER
Phone: (616) 520-9074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker	104100000X
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Dietitian, Registered	133V00000X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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