| Children Trauma Assessment Center | |
|
1000 Oakland Dr Fl 3 Kalamazoo MI 49008-1282 | |
| (269) 387-7073 | |
| Not Available |
| Full Name | Children Trauma Assessment Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1000 Oakland Dr Fl 3, Kalamazoo, Michigan |
| Authorized Official Name and Position | Carol Sundberg (DIRECTOR) |
| Authorized Official Contact | 2693877005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children Trauma Assessment Center 1000 Oakland Dr Fl 3 Kalamazoo MI 49008-1282 Ph: (269) 387-7073 | Children Trauma Assessment Center 1000 Oakland Dr Fl 3 Kalamazoo MI 49008-1282 Ph: (269) 387-7073 |
| NPI Number | 1275600082 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275600082 | NPI | - | NPPES |
| 11 4318037 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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