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 |