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Pine Rest Christian Mental Health Services
Substance Abuse Rehabilitation Facility in Grand Rapids, Michigan
NPI 1841791357

Pine Rest Christian Mental Health Services is a Substance Abuse Rehabilitation Facility based in Grand Rapids, MI. Pine Rest Christian Mental Health Services practices in Grand Rapids, MI. The NPI Number for Pine Rest Christian Mental Health Services is 1841791357 and holds a License No. SA0410417 (Michigan).

The current practice location address for Pine Rest Christian Mental Health Services is 300 68Th Street Se, Grand Rapids, MI and can be reached out via phone at 616-281-6372.

Location: 300 68Th Street Se, Grand Rapids, MI, 49548-6927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841791357
Provider Name
Pine Rest Christian Mental Health Services
Credential
Provider Entity Type
Organization
Address
300 68Th Street Se, Grand Rapids, MI, 49548-6927
Phone Number
616-281-6372
Fax Number
Provider Enumeration Date
02/21/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SA0410417 01 MI BC/BS SUBSTANCE ABUSE - CAMPUS CLINIC 1
institution
Provider Business Practice Location Address Details
Address
300 68Th Street Se
City
Grand Rapids
State
Michigan
Zip
49548
Phone Number
616-281-6372
Fax Number
person
Provider Business Mailing Address Details
Address
300 68Th Street Se
City
Grand Rapids
State
Michigan
Zip
49548
Phone Number
616-281-6372
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
SA0410417 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
SA0410417 (Michigan)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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