Organization
THEODORE CARL DREAM CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE A. TEUNESSEN D.D., M.A. (EXECUTIVE DIRECTOR)
(269) 838-6528
Entity
Organization
Contact information
Practice address
5 ENWOOD ST, BATTLE CREEK, MI 49014-4317
(269) 962-1337
(269) 962-1364
Mailing address
5 ENWOOD ST, BATTLE CREEK, MI 49014-4317
(269) 962-1337
(269) 962-1364
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
130118
MI
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
130118
MI
Other
Enumeration date
05/21/2013
Last updated
05/30/2014
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