| NPI | 1518202100 |
|---|---|
| Former Legal Business Name | COMMUNITY COUNSELING CENTERS INC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY OAKES CEO 928-537-2951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH806) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ BH140) |
| 251S00000X Community/Behavioral Health (Licence: AZ BH3321) | |
| 251S00000X Community/Behavioral Health (Licence: AZ BH4058) | |
| 283Q00000X Psychiatric Hospital (Licence: AZ SH4758) | |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2016-12-09 |