# CC & A FAMILY SERVICES INC \#2

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CC & A FAMILY SERVICES INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689853467
- **Legal business name:** CC & A FAMILY SERVICES INC
- **Authorized official:** MS. GAIL COACHMAN (OWNER)
- **Authorized official phone:** (336) 299-6644

## Contact information

- **Practice address:** 1005 BENJAMIN PKWY, GREENSBORO, NC 27408-7715
- **Practice address phone:** (336) 299-6644
- **Practice address fax:** (336) 464-2188
- **Mailing address:** 1005 BENJAMIN PKWY, GREENSBORO, NC 27408-7715
- **Mailing address phone:** (336) 299-6644
- **Mailing address fax:** (336) 464-2188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | MHL-041-847 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-041-847 | NC | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 04/09/2008