Logan Community Resources, Inc.
NPI #1861071789 in Benton Harbor, Michigan
Provider Information
- NPI Number
- 1861071789
- Entity Type
- Organization
- Organization Name
- Logan Community Resources, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LOGAN COMMUNITY RESOURCES, INC.
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Apr 7, 2021
- Last Updated
- Apr 13, 2021
Practice Location
- Address
- 1651 E NICKERSON AVE
- City
- Benton Harbor
- State
- Michigan
- ZIP Code
- 49022-2469
- Phone
- (269) 983-5833
Authorized Official
- Name
- MARIA FERNANDEZ
- Title
- MANAGER OF REVENUE CYCLE
- Phone
- (626) 531-2992
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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