Organization
COMMUNITY LIVING SUPPORT SERVICES LLC
Active
Other names
CLS
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE MICHELLE CLARK BSW (LICENSEE DESIGNEE, ADMINISTRATOR)
(517) 554-8788
Entity
Organization
Contact information
Practice address
6929 CALHOUN RD, ALBION, MI 49224-9651
(517) 554-8788
(517) 465-7103
Mailing address
6929 CALHOUN RD, ALBION, MI 49224-9651
(517) 554-8788
(517) 465-7103
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
AS130374875
MI
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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