| NPI | 1578329355 |
|---|---|
| Doing Business As | CCP INTEGRATED BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |