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BETHANY CHRISTIAN SERVICES INC.

Residential Treatment Facilities Residential Treatment Facility, Emotionally Disturbed Children

Provider NPI: 1528104643

Organization Information:
Organization Name:  BETHANY CHRISTIAN SERVICES INC.
Organization is not Subpart
Authorized Official:  GEORGE JOHN TYNDALL  BRANCH DIRECTOR  616-224-7617

Practice Location:
901 EASTERN AVE NE  GRAND RAPIDS, MI 49503-1201 US
Tel: 616-224-7617  Fax: 616-224-7593

Business Mailing Address:
901 EASTERN AVE NE P.O. BOX 294 GRAND RAPIDS, MI 49503-1201 US
Tel: 616-224-7617  Fax: 616-224-7593

NPI Information:
NPI: 1528104643
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N322D00000XResidential Treatment Facilities
Residential Treatment Facility, Emotionally Disturbed Children
MI635720364
N251B00000XAgencies
Case Management
MICB410200976
Y251S00000XAgencies
Community/Behavioral Health
MI410218

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 251S00000X

Type:

Classification:



Definition:



MEDICAL JOBS MI - Page 1

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