NPI 1306988217
Pine Rest Christian Mental Health Services
Practice location
- Address
- 300 68th St SE, Grand Rapids, MI 49548-6927
- Phone
- (616) 455-5000
Authorised official
- Name
- Diane Fennema
- Title
- Managed Care Administrator
- Phone
- (616) 281-6372
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1306988217
- Entity type
- Organization
- NPI issued
- 14 Feb 2007
- Record last updated
- 4 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.