Children's Advocacy Center | |
12125 Union St Holland MI 49424-8603 | |
(616) 393-6123 | |
(616) 393-0918 |
Full Name | Children's Advocacy Center |
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Speciality | Counselor |
Location | 12125 Union St, Holland, Michigan |
Authorized Official Name and Position | Darcy Komejan (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6163936123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Children's Advocacy Center 12125 Union St Holland MI 49424-8603 Ph: (616) 393-6123 | Children's Advocacy Center 12125 Union St Holland MI 49424-8603 Ph: (616) 393-6123 |
NPI Number | 1528166204 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528166204 | NPI | - | NPPES |
4574743 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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