Pine Rest Christian Mental Health Services

NPI #1619341310 in Caledonia, Michigan

Provider Information

NPI Number: 1619341310
Entity Type: Organization
Organization Name: Pine Rest Christian Mental Health Services
Primary Specialty: Social Worker
Enumeration Date: Nov 18, 2015
Last Updated: Nov 4, 2020

Practice Location

Address: 9090 S RODGERS CT SE
City: Caledonia
State: Michigan
ZIP Code: 49316-8052
Phone: (616) 891-8770

Authorized Official

Name: DIANE FENNEMA
Title: MANAGED CARE ADMINISTRATOR
Phone: (616) 281-6372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist	103T00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Psychiatric Hospital	283Q00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Social Worker	104100000X	Primary

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