| Pine Rest Christian Mental Health Services | |
|
1870 Leonard St Ne Grand Rapids MI 49505-5650 | |
| (616) 956-9619 | |
| Not Available |
| Full Name | Pine Rest Christian Mental Health Services |
|---|---|
| Speciality | Physician Assistant |
| Location | 1870 Leonard St Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Diane Fennema (MANAGED CARE ADMINISTATOR) |
| 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) 455-5270 | Pine Rest Christian Mental Health Services 1870 Leonard St Ne Grand Rapids MI 49505-5650 Ph: (616) 956-9619 |
| NPI Number | 1598138810 |
|---|---|
| Provider Enumeration Date | 11/09/2015 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598138810 | NPI | - | NPPES |
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