Bethany Christian Services

Organization Active NPI Community/Behavioral Health Agency · Grand Rapids, MI

NPI 1508096710 · NPPES record last updated Jul 22, 2009

Key facts

NPI
1508096710
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
6801091422 (MI)
Legal business name
BETHANY CHRISTIAN SERVICES
Practice address
901 Eastern Ave NE
Grand Rapids, MI 49503-1201
Phone
(616) 224-7617
NPI assigned
Jul 22, 2009
Organization subpart
No

Authorized official

Name
Stephanie Jo Carlton, LLMSW
Title
Therapist
Phone
(616) 224-7617

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Bethany Christian Services (18 organizations share this tax ID)

Locations

901 Eastern Ave NE
Grand Rapids, MI 49503
Phone (616) 224-7617

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6801091422 MI
Community/Behavioral Health Agency 251S00000X 6801091422 MI Yes

Addresses

Primary practice location

901 Eastern Ave NE
Grand Rapids, MI 49503-1201

Mailing address

901 Eastern Ave NE
Grand Rapids, MI 49503-1201
Phone (616) 224-7617

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Community/Behavioral Health Agency in Michigan

Sources for this page

Verify at the official NPI Registry.