Organization
BLUES BUSTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA-MAGDALENA L CHRISTIANSON (CEO)
(269) 208-6125
Entity
Organization
Contact information
Practice address
9572 RED BUD TRL, BERRIEN SPRINGS, MI 49103-9517
(269) 208-6125
(269) 593-6012
Mailing address
PO BOX 148, BERRIEN SPRINGS, MI 49103-0148
(269) 208-6125
(269) 593-6012
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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