| NPI | 1184975500 |
|---|---|
| Former Legal Business Name | COMMUNITY COUNSELING CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY OAKES Chief Executive Officer 928-537-2951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC6040) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2016-12-09 |