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Organization
CHILDREN'S ASSESSMENT CENTER
Active
Organization
CHILDREN'S ASSESSMENT CENTER
Active
Other names
Children's Advocacy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DARCY KOMEJAN M.D.MSW (EXECUTIVE DIRECTOR)
(616) 393-6123
Entity
Organization
Contact information
Practice address
12125 UNION ST, HOLLAND, MI 49424-8603
(616) 393-6123
(616) 393-0918
Mailing address
12125 UNION ST, HOLLAND, MI 49424-8603
(616) 393-6123
(616) 393-0918
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4574743
—
MI
Enumeration date
09/20/2006
Last updated
08/22/2020
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