Organization
CHRISTIAN HOME SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT VANDERLOON (OWNER)
(989) 772-1261
Entity
Organization
Contact information
Practice address
209 E CHIPPEWA ST, MT PLEASANT, MI 48858-1609
(989) 772-1261
Mailing address
209 E CHIPPEWA ST, MT PLEASANT, MI 48858-1609
(989) 772-1261
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
4704171003
MI
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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