Organization
JENNY'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMLEN KAUMPUNGAN (CO-OWNER, MANAGER)
(269) 277-1353
Entity
Organization
Contact information
Practice address
661 ERLWOOD PATH, BERRIEN SPRINGS, MI 49103-1672
(269) 471-3761
(269) 815-5089
Mailing address
661 ERLWOOD PATH, BERRIEN SPRINGS, MI 49103-1672
(269) 471-3761
(269) 815-5089
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AF110088792
MI
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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