Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALENA S MOMAN
Active Sole ProprietorDALENA S MOMAN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in KALAMAZOO, Michigan. NPI 1295999894 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · KALAMAZOO, MI
Registration Details
- NPI Number
- 1295999894
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2008 (18.135629305736 yrs)
- Last Updated
- Jul 12, 2008
- License
-
AF390069743 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1022 ROYCE AVEKALAMAZOO, MI, 490014993Browse MI providers · Browse ZIP 49001
- Phone
- 2693438480
- Fax
- 2693435773
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.