Individual provider · Type 1 NPI

Larry Wayne Edwards, BS

Substance Abuse Rehabilitation Facility · Benton Harbor, MI

NPI number 1184375016 Active

Practice location

1022 E Main St
Benton Harbor, MI 49022-3036

Call (269) 926-0015 Map

Fax (269) 926-0123

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

27 other providers at this address

About NPI 1184375016

Larry Wayne Edwards, BS's National Provider Identifier is 1184375016, issued on Jan 12, 2022. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Benton Harbor, MI. The record was last updated on Jan 12, 2022.