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Contact Information

SOUTH BEND BEHAVIORAL HEALTH LLC
701 N NILES AVE
SOUTH BEND, IN46617-1923
 Phone: 843-609-5885
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for SOUTH BEND BEHAVIORAL HEALTH LLC

NPI Number 1659842490
LBN Legal business name SOUTH BEND BEHAVIORAL HEALTH LLC
Authorized official JOSHUA SMITH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2018
Last updated 12/05/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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