Community Counseling Centers, Inc.

NPI 1184975500 - Clinic/Center - 261QM0801X

NPI Details
NPI 1184975500
Enumeration Date 09/25/2012
Last Updated 06/12/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JEFFREY JEFFREY
Position CHEIF EXECUTIVE OFFICER
Phone (928) 536-6869
Fax (928) 536-4788
Practice Location
423 S MAIN ST
SNOWFLAKE AZ, 85937-5247, US
Phone (928) 536-6869
Fax (928) 536-4788
Business Location
105 N 5TH AVE
HOLBROOK AZ, 86025-2817, US
Phone (928) 524-6701
Fax (928) 524-3068
Toxanomy
Taxonomy Code 261QM0801X
License State Arizona
License Number OTC6040
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According to our database, Community Counseling Centers, Inc. NPI is 1184975500, taxonomy code is 261QM0801X and license number is OTC6040, license state is located at Arizona. Community Counseling Centers, Inc. physically located at 423 S Main St, Snowflake AZ, 85937-5247. NPI Number 1033115704 has the healthcare provider type.

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1184975500 NPI number is provided on an as is basis without warranty of any kind. 1184975500 is maintained by the National Plan & Provider Enumeration System. The contents of Community Counseling Centers, Inc. are for informational purposes only.