Organization
KOKOMO ACADEMY
Active
Parent organization
CORRECTIONAL MANAGEMENT COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORRECTIONAL MANAGEMENT COMPANY
Authorized official
ROGER SNYDER CFO (VICE PRESIDENT)
(317) 274-1359
Entity
Organization
Contact information
Practice address
623 S BERKLEY RD, KOKOMO, IN 46901-5150
(765) 452-9989
Mailing address
900 KEYSTONE CROSSING, STE 1040, INDIANAPOLIS, IN 46240
(317) 694-4074
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IN
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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