# CENTENNIAL COMMUNITY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659738243
- **Authorized official:** SHEA ENOS (OWNER)
- **Authorized official phone:** (940) 597-5382

## Contact information

- **Practice address:** 545 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80903-3637
- **Practice address phone:** (940) 597-5382
- **Mailing address:** 101 CEMETERY RD, AURORA, TX 76078-4503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 01/27/2016
- **Last updated:** 01/27/2016