Origin Trauma And Addiction Treatment Pllc

LBN: Origin Trauma And Addiction Treatment Pllc
Origin Trauma And Addiction Treatment Pllc is an health care organization with primary practice located at 958 Collett Ave Ste 322 , Bowling Green KY 42101-2309. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Origin Trauma And Addiction Treatment Pllc can be contacted via phone (214) 679-7017, or through Schrader, Christian Cord via phone (214) 679-7017.

Contact Information

Primary practice address
958 Collett Ave Ste 322 Bowling Green KY 42101-2309
Phone: (214) 679-7017
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schrader, Christian Cord Doctor of Medicine (MD)
Phone: (214) 679-7017

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1407697972
LBN Legal business name Origin Trauma And Addiction Treatment Pllc
DBA Doing business as
Authorized official Schrader, Christian Cord Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2024
Last updated Jun 6th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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