PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI 1982672762

NPI Information

PINE REST CHRISTIAN MENTAL HEALTH SERVICES is a psychiatric hospital in Grand Rapids, MI. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. PINE REST CHRISTIAN MENTAL HEALTH SERVICES NPI is 1982672762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548-927
Phone: (616) 455-5270
Fax: (616) 281-6459

The provider's authorized official is Ryan Larue .
The authorized official title is Vp Contracting and has the following contact phone number (616) 281-6373.

The CLIA number assigned to this NPI record is 23D1081173 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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