Organization · Type 2 NPI

Lori Gray Boothroyd PLLC

Community/Behavioral Health Agency · Traverse City, MI

NPI number 1508001090 Active

Practice location

12935 S West Bay Shore Dr, Suite 200
Traverse City, MI 49684-6298

Call (231) 929-4722 Map

Mailing address

13351 S Partridge Run Dr
Traverse City, MI 49684-8485

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X6301012397 (MI)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1508001090

Lori Gray Boothroyd PLLC's National Provider Identifier is 1508001090, issued on Dec 11, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Traverse City, MI. The record was last updated on Aug 10, 2012.