Organization
ORIGIN TRAUMA AND ADDICTION TREATMENT PLLC
Active
Other names
Origin Trauma and Addiction Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN CORD SCHRADER M.D. (OWNER)
(214) 679-7017
Entity
Organization
Contact information
Practice address
958 COLLETT AVE STE 322, BOWLING GREEN, KY 42101-2309
(615) 745-9058
Mailing address
2413 NASHVILLE RD STE 310, BOWLING GREEN, KY 42101-4101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
01/03/2025
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