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Organization
COOK CHILDREN'S MEDICAL CENTER
Active
Organization
COOK CHILDREN'S MEDICAL CENTER
Active
Parent organization
COOK CHILDREN'S MEDICAL CENTER
Other names
COOK CHILDREN'S BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOK CHILDREN'S MEDICAL CENTER
Authorized official
CORY R RHOADES (CHIEF FINANCIAL OFFICER)
(682) 885-4480
Entity
Organization
Contact information
Practice address
901 7TH AVE STE 2100, FORT WORTH, TX 76104-2722
(682) 885-1480
(682) 885-3600
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/16/2011
Last updated
06/05/2023
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