Graduated: 2025
NPI: 1003342551
Practice Locations (2)
WEDGWOOD CHRISTIAN SERVICES
3300 36TH ST SE
GRAND RAPIDS, MI 495122810
6169427294
KENT COUNTY CMH AUTHORITY
790 FULLER AVE NE
GRAND RAPIDS, MI 495031918
6168255412
Source: CMS National Downloadable File, September 2026.