Organization
BETHANY CHRISTIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE TYNDALL LMSW (DIRECTOR)
(616) 284-7543
Entity
Organization
Contact information
Practice address
1050 36TH ST SE, GRAND RAPIDS, MI 49508
(616) 965-8093
Mailing address
901 EASTERN AVENUE NE, GRAND RAPIDS, MI 49501-0294
(616) 965-8093
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4101006467
MI
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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