Pine Rest Christian Mental Health Services
NPI #1598138810 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1598138810
- Entity Type
- Organization
- Organization Name
- Pine Rest Christian Mental Health Services
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Nov 9, 2015
- Last Updated
- Nov 4, 2020
Practice Location
- Address
- 1870 LEONARD ST NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49505-5650
- Phone
- (616) 956-9619
Authorized Official
- Name
- DIANE FENNEMA
- Title
- MANAGED CARE ADMINISTATOR
- Phone
- (616) 281-6372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Psychologist |
| Social Worker |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Nurse Practitioner |
| Physician Assistant |
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