Organization
WEDGWOOD CHRISTIAN SERVICES
Active
Other names
Wedgwood Christian Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T GOWDY (CEO)
(616) 942-2110
Entity
Organization
Contact information
Practice address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
(616) 942-0589
Mailing address
3300 36TH ST SE, GRAND RAPIDS, MI 49512-2810
(616) 942-2110
(616) 942-0589
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464983
—
MI
Enumeration date
08/30/2006
Last updated
11/02/2023
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