Organization
CCA DIRECT INC
Active
Other names
CCA Direct
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD STEVEN BREEDEN (COO)
(619) 213-8147
Entity
Organization
Contact information
Practice address
6970 OBANNON DR, LAS VEGAS, NV 89117-2122
(619) 213-8147
Mailing address
6970 OBANNON DR, LAS VEGAS, NV 89117-2122
(619) 213-8147
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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