Organization
CHOICES WEST COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE CARSON VANDERHOOF CAC-M (EXECUTIVE DIRECTOR)
(231) 873-1443
Entity
Organization
Contact information
Practice address
49 S STATE ST, SUITE A, HART, MI 49420-1196
(231) 873-1443
(231) 873-9201
Mailing address
49 S STATE ST, SUITE A, HART, MI 49420-1196
(231) 873-1443
(231) 873-9201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
640010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705289
—
MI
Enumeration date
04/11/2007
Last updated
08/22/2020
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