PINE REST CHRISTIAN MENTAL HEALTH SERVICES

GRAND RAPIDS, MI
NPI1255341756
Entity TypeOrganization
Authorized ContactDIANE FENNEMA
Managed Care Administrator
616-281-6372
Organization Subpart ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2006-08-08
Last Update Date2020-11-04
Business Address
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
Mailing Address
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000