{"npi":"1750414827","type":"NPI-2","status":"active","name":{"display":"Wedgwood Christain Services","other":[],"organization_name":"WEDGWOOD CHRISTAIN SERVICES","authorised_official":"Robert Johnson"},"specialty":{"primary_taxonomy":"251S00000X","primary_taxonomy_description":"Community/Behavioral Health Agency","slug":"community-behavioral-health-agency","schema_org_specialty":null,"all":[{"code":"251S00000X","description":"Community/Behavioral Health Agency","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3300 36TH ST SE","city":"GRAND RAPIDS","state":"MI","postal_code":"495122810","country_code":"US","phone":"6165595835","fax":"6162816448"},{"purpose":"MAILING","street_1":"8117 CRESTVIEW AVE","city":"JENISON","state":"MI","postal_code":"494289124","country_code":"US","phone":"6167060204"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"100594","state":"MI","issuer":"ADDICTION COUNSELOR"},{"type_code":"01","label":"Other","value":"6401008579","state":"MI","issuer":"PROFESSIONAL COUNSELOR"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-14","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}