| NPI | 1629302534 |
|---|---|
| Doing Business As | CCI |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BROOKS CEO/ Chairman 980-522-4195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2017-04-14 |