Riverbend Behavioral Health, LLC
Clinic/Center, Multi-Specialty in South Bend, IN. Organization (NPI-2).
NPI number1215467006
StatusActive
Last updated in NPPESJun 14, 2017
Details
- NPI
- 1215467006
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverbend Behavioral Health, LLC
- Organization subpart
- No
- Enumeration date
- Jun 14, 2017
- Last updated
- Jun 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – |
Practice location
701 N Niles AveSouth Bend, IN 46617-1923
Phone 574-318-5684
Mailing address
701 N Niles AveSouth Bend, IN 46617-1923
Authorized official
Leanne Sargent-Suarez
Owner
5743185684
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