Pine Rest Community Services Substance Abuse

LBN: Pine Rest Christian Mental Health Services
Pine Rest Community Services Substance Abuse is an health care organization with primary practice located at 320 Commerce Ave Sw , Grand Rapids MI 49503-4101. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Hospitals / Psychiatric Hospital, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Hospitals / Psychiatric Hospital is the primary health care specialty. Pine Rest Christian Mental Health Services can be contacted via phone (616) 258-7599, or through Fennema, Diane M via phone (616) 281-6372.

Contact Information

Primary practice address
320 Commerce Ave Sw Grand Rapids MI 49503-4101
Phone: (616) 258-7599
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fennema, Diane M
Phone: (616) 281-6372

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Hospitals / Psychiatric Hospital 283Q00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1235895897
LBN Legal business name Pine Rest Christian Mental Health Services
DBA Doing business as Pine Rest Community Services Substance Abuse
Authorized official Fennema, Diane M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2021
Last updated Mar 11th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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