Organization
CSM SERENITY HOMES, LLC
Active
Other names
Serenity Homes West
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY CLARK (EXECUTIVE DIRECTOR)
(616) 894-1962
Entity
Organization
Contact information
Practice address
1714 W 32ND ST, HOLLAND, MI 49423-7311
(616) 298-7698
(616) 298-7426
Mailing address
1714 W 32ND ST, HOLLAND, MI 49423-7311
(616) 298-7698
(616) 298-7426
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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