# RENEWAL CHRISTIAN COUNSELING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174799209
- **Authorized official:** MRS. ABIGAIL R MILLER (OFFICE MANAGER)
- **Authorized official phone:** (586) 783-2950

## Contact information

- **Practice address:** 3847 PINE GROVE AVE STE B, FORT GRATIOT, MI 48059-4265
- **Practice address phone:** (810) 966-0099
- **Practice address fax:** (810) 696-7339
- **Mailing address:** 3847 PINE GROVE AVE STE B, FORT GRATIOT, MI 48059-4265
- **Mailing address phone:** (810) 966-0099
- **Mailing address fax:** (810) 696-7339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 12/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 094186 | BLUE CROSS BLUE SHIELD OF MICHIGAN | MI |