Organization
CSM SERENITY HOMES, LLC
Active
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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