Graduated: 2022
NPI: 1972060895
Practice Locations (2)
KENT COUNTY CMH AUTHORITY
790 FULLER AVE NE
GRAND RAPIDS, MI 495031918
6168255412
DBT INSTITUTE OF MI
2950 W HOWELL RD
MASON, MI 488549329
5173670670
Source: CMS National Downloadable File, September 2026.