Organization
COGNITIVE ACHIEVEMENT CENTER
Active
Organization
COGNITIVE ACHIEVEMENT CENTER
Active
Other names
Indigo Oak - A Cognitive Achievement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT THOMAS ROBERTSON (OWNER)
(248) 820-9905
Entity
Organization
Contact information
Practice address
608 WASHINGTON ST, CANTON, MO 63435-1581
(248) 820-9905
Mailing address
13421 US HIGHWAY 61, CANTON, MO 63435-3360
(248) 820-9905
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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