Organization
BETHANY CHRISTIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE GLERUM MPA (DIRECTOR)
(231) 924-3390
Entity
Organization
Contact information
Practice address
6995 W 48TH ST, FREMONT, MI 49412-9506
(231) 924-3390
Mailing address
6995 W 48TH ST, FREMONT, MI 49412-9506
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8008964490
BCBS PIN
MI
Enumeration date
03/22/2007
Last updated
08/22/2020
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