Pine Rest Christian Mental Health Services | |
2215 44th St Sw Wyoming MI 49519-6439 | |
(616) 252-8371 | |
Not Available |
Full Name | Pine Rest Christian Mental Health Services |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2215 44th St Sw, Wyoming, Michigan |
Authorized Official Name and Position | Diane Fennema (MANNAGED 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 2215 44th St Sw Wyoming MI 49519-6439 Ph: (616) 252-8371 |
NPI Number | 1386652782 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 11/04/2020 |
Certification Date | 11/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386652782 | NPI | - | NPPES |
500D11133 | Other | MI | NURSE PRACTITIONER |
P10D11275 | Other | MI | MA, LLP/DOCTORAL |
260D17625 | Other | MI | PSYCHIATRISTS |
680D16189 | Other | MI | PSYCHOLOGIST |
800D16222 | Other | MI | SOCIAL WORKER |
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