| Organization Name: | BEDFORD BEHAVIORAL HEALTH |
| NPI Number: | 1528337706 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMBER M LANGE (CEO) |
| Mailing Address: | 8336 Monroe Rd Room 154 Lambertville |
| State: | MI US |
| Postal Code: | 481449339 |
| Phone Number: | 7348070162 |
| Fax Number: | 7342247872 |
| NPI Enumeration Date: | 12/18/2011 |
| NPI Last Update Date: | 12/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401009357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |