Organization
BETHANY CHRISTIAN SERVICES INC.
Active
Other names
Grand Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE JOHN TYNDALL MSW (BRANCH DIRECTOR)
(616) 224-7617
Entity
Organization
Contact information
Practice address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 224-7617
(616) 224-7593
Mailing address
901 EASTERN AVE NE, P.O. BOX 294, GRAND RAPIDS, MI 49503-1201
(616) 224-7617
(616) 224-7593
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
CB410200976
MI
251S00000X
Community/Behavioral Health Agency
Primary
410218
MI
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
635720364
MI
Other
Enumeration date
01/29/2007
Last updated
10/24/2013
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