PINE REST CHRISTIAN MENTAL HEALTH SERVICES

GRAND RAPIDS, MI
NPI1235895897
Other NamePINE REST COMMUNITY SERVICES SUBSTANCE ABUSE
Entity TypeOrganization
Authorized ContactDIANE M FENNEMA
Managed Care Administrator
616-281-6372
Organization Subpart ?No
Primary Taxonomy283Q00000X Psychiatric Hospital
Additional Taxonomies101YP2500X Counselor, Professional
103T00000X Psychologist
103TC0700X Psychologist, Clinical
1041C0700X Social Worker, Clinical
2084A0401X Psychiatry & Neurology, Addiction Medicine
2084P0800X Psychiatry & Neurology, Psychiatry
363L00000X Nurse Practitioner
324500000X Substance Abuse Rehabilitation Facility
363A00000X Physician Assistant
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2021-11-09
Last Update Date2022-03-11
Business Address
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503-4101
Phone number: 616-258-7599
Mailing Address
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-281-6372