Endeavor Behavioral Health, Llc
LBN: Endeavor Behavioral Health, Llc
Endeavor Behavioral Health, Llc is an health care organization with primary practice located at 225 Michigan St. Nw #3520 , Grand Rapids MI 49501-3520. The organization recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Ambulatory Health Care Facilities / Developmental Disabilities. Agencies / Early Intervention Provider Agency is the primary health care specialty.
Endeavor Behavioral Health, Llc can be contacted via phone (248) 798-0474, or through Boogholt, Beth A via phone (248) 798-0474.
Contact Information
Primary practice address
225 Michigan St. Nw #3520
Grand Rapids MI 49501-3520
Phone: (248) 798-0474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | ||
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
| NPI number | 1306334115 |
|---|---|
| LBN Legal business name | Endeavor Behavioral Health, Llc |
| DBA Doing business as | |
| Authorized official | Boogholt, Beth A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 26th, 2018 |
| Last updated | Apr 26th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306334115 | NPPES |
| Other | 1265760128 | INDIVIDUAL NPI |
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