Pine Rest Christian Mental Health Services

NPI 1063421022 - Psychologist - 103T00000X

NPI Details
NPI 1063421022
Enumeration Date 08/07/2006
Last Updated 07/18/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DOUG DOUG
Position VP OF GENERAL SERVICES
Phone (616) 847-5145
Fax
Practice Location
1445 SHELDON RD
HARBOR DUNES HEALTH CENTER
GRAND HAVEN MI, 49417-2480, US
Phone (616) 847-5145
Fax
Business Location
300 68TH ST SE
GRAND RAPIDS MI, 49548-6927, US
Phone (616) 455-5000
Fax
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
Remove 1063421022 NPI Number
 

According to our database, Pine Rest Christian Mental Health Services NPI is 1063421022, taxonomy code is 103T00000X Pine Rest Christian Mental Health Services physically located at 1445 Sheldon Rd, Grand Haven MI, 49417-2480. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1063421022 NPI number is provided on an as is basis without warranty of any kind. 1063421022 is maintained by the National Plan & Provider Enumeration System. The contents of Pine Rest Christian Mental Health Services are for informational purposes only.