Pine Rest Christian Mental Health Services | |
9090 S Rodgers Ct Se Caledonia MI 49316-8052 | |
(616) 891-8770 | |
Not Available |
Full Name | Pine Rest Christian Mental Health Services |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 9090 S Rodgers Ct Se, Caledonia, Michigan |
Authorized Official Name and Position | Diane Fennema (MANAGED CARE ADMINISTRATOR) |
Authorized Official Contact | 6162816372 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pine Rest Christian Mental Health Services 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5000 | Pine Rest Christian Mental Health Services 9090 S Rodgers Ct Se Caledonia MI 49316-8052 Ph: (616) 891-8770 |
NPI Number | 1619987740 |
---|---|
Provider Enumeration Date | 08/09/2006 |
Last Update Date | 11/04/2020 |
Certification Date | 11/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619987740 | NPI | - | NPPES |
500D11133 | Other | MI | NURSE PRACTIONERS |
680D16189 | Other | MI | PSYCHOLOGISTS |
800D16222 | Other | MI | SOCIAL WORKERS |
350D148360 | Other | MI | PEDIATRICS |
110D148370 | Other | MI | INTERNAL MD |
260D17625 | Other | MI | PSYCHIATRIST |
P10D11275 | Other | MI | PSYCHOLOGISTS, MA, DOCTOR |
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