Organization
MATERNAL HEALTH NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE COCHRAN JR. (OWNER)
(313) 442-6027
Entity
Organization
Contact information
Practice address
1550 W PLANO PKWY APT 2254, PLANO, TX 75075-8694
(430) 558-1176
(214) 853-5981
Mailing address
1550 W PLANO PKWY APT 2254, PLANO, TX 75075-8694
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
01/25/2019
Last updated
10/05/2019
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