Maverick Spirits Llc

LBN: Maverick Spirits Llc
Maverick Spirits Llc is an health care organization with primary practice located at 3100 S Winter St Apt G11 , Adrian MI 49221-8785. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Maverick Spirits Llc can be contacted via phone (517) 442-0207, or through Vancoppenolle, Kandiss via phone (517) 442-0207.

Contact Information

Primary practice address
3100 S Winter St Apt G11 Adrian MI 49221-8785
Phone: (517) 442-0207
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vancoppenolle, Kandiss Master of Arts (MA)
Phone: (517) 442-0207

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1699515999
LBN Legal business name Maverick Spirits Llc
DBA Doing business as
Authorized official Vancoppenolle, Kandiss Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2024
Last updated May 27th, 2024 - about 6 months 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.

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