Wedgwood Christain Services

LBN: Wedgwood Christain Services
Wedgwood Christain Services is an health care organization with primary practice located at 3300 36Th St Se , Grand Rapids MI 49512-2810. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Wedgwood Christain Services can be contacted via phone (616) 559-5835, or through Johnson, Robert Gerard via phone (616) 559-5835.

Contact Information

Primary practice address
3300 36Th St Se Grand Rapids MI 49512-2810
Phone: (616) 559-5835
Fax: (616) 281-6448
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Robert Gerard Licensed Professional Counselor (LPC)
Phone: (616) 559-5835

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1750414827
LBN Legal business name Wedgwood Christain Services
DBA Doing business as
Authorized official Johnson, Robert Gerard Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750414827 NPPES
Michigan Other 100594 ADDICTION COUNSELOR
Michigan Other 6401008579 ADDICTION COUNSELOR

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