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1255341756
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
GRAND RAPIDS, MI
NPI
1255341756
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Entity Type
Organization
Authorized Contact
DIANE FENNEMA
Managed Care Administrator
616-281-6372
Organization Subpart ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2006-08-08
Last Update Date
2020-11-04
Business Address
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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Mailing Address
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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