Organization
CCC HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOLOMON NCHINDA (DIRECTOR)
(908) 463-3115
Entity
Organization
Contact information
Practice address
4205 HATTIES PROGRESS DRIVE, BOWIE, MD 20720
(908) 463-3115
Mailing address
4205 HATTIES PROGRESS DR, BOWIE, MD 20720-6321
(908) 463-3115
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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