Behavioral Learning Center, LLC
Community/Behavioral Health in Springfield, MO. Organization (NPI-2).
NPI number1932546702
StatusActive
Last updated in NPPESSep 23, 2015
Details
- NPI
- 1932546702
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Learning Center, LLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2013
- Last updated
- Sep 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 2012013743 | MO | Yes |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Practice location
230 N Belcrest AveSuite B
Springfield, MO 65802-6288
Phone 417-616-3180 · Fax 417-631-4996
Mailing address
230 N Belcrest AveSuite B
Springfield, MO 65802-6288
Phone 417-616-3180 · Fax 417-631-4996
Authorized official
Ginger D Crabtree
Owner
4176163180
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