Pine Rest Christian Mental Health Services | |
300 68th St Se Grand Rapids MI 49548-6927 | |
(616) 455-5000 | |
Not Available |
Full Name | Pine Rest Christian Mental Health Services |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 300 68th St Se, Grand Rapids, 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 300 68th St Se Grand Rapids MI 49548-6927 Ph: (616) 455-5000 |
NPI Number | 1033129101 |
---|---|
Provider Enumeration Date | 08/09/2006 |
Last Update Date | 11/04/2020 |
Certification Date | 11/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033129101 | NPI | - | NPPES |
700D16083 | Other | MI | BC/BS MULTISPECIALITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
News Archive
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