NPI | 1588480305 |
---|---|
Doing Business As | CCI HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | ALISA BRIGHTLEY Lead Credentialing Specialist 240-297-6758 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2024-11-26 |
Last Update Date | 2024-12-02 |