Organization
BETHANY CHRISTIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAYBANK M KAPUFI SR. LPC (THERAPIST)
(616) 818-4818
Entity
Organization
Contact information
Practice address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 818-4818
(616) 284-3263
Mailing address
901 EASTERN AVE NE, GRAND RAPIDS, MI 49503-1201
(616) 818-4818
(616) 284-3263
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401011547
MI
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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