Organization
CHILDREN'S ASSESSMENT CENTER
Active
Other names
Children's Advocacy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DARCY KOMEJAN M.D.MSW (EXECUTIVE DIRECTOR)
(616) 393-6123
Entity
Organization
Contact information
Practice address
12125 UNION ST, HOLLAND, MI 49424-8603
(616) 393-6123
(616) 393-0918
Mailing address
12125 UNION ST, HOLLAND, MI 49424-8603
(616) 393-6123
(616) 393-0918
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4574743
—
MI
Enumeration date
09/20/2006
Last updated
08/22/2020
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