Organization
PADOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI SEVERT MA. LPC BCBA (OWNER/CLINICAL DIRECTOR)
(989) 551-5653
Entity
Organization
Contact information
Practice address
6556 OLD ELMWOOD RD, CASS CITY, MI 48726-8917
(989) 551-5653
Mailing address
6556 OLD ELMWOOD RD, CASS CITY, MI 48726-8917
(989) 551-5653
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/07/2021
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