| Pine Rest Christian Mental Health Services | |
|
1350 W Centre Ave Portage MI 49024-5361 | |
| (269) 910-7327 | |
| (269) 910-7328 |
| Full Name | Pine Rest Christian Mental Health Services |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 1350 W Centre Ave, Portage, 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 1350 W Centre Ave Portage MI 49024-5361 Ph: (269) 910-7327 |
| NPI Number | 1821414566 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 11/04/2020 |
| Certification Date | 11/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821414566 | NPI | - | NPPES |
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