Organization
COMPREHENSIVE CHEMICAL AWARENESS PROGRAMS (C-CAP)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN EZEOHA (PRESIDENT)
(214) 221-5900
Entity
Organization
Contact information
Practice address
9560 SKILLMAN ST STE 118, DALLAS, TX 75243-8256
(214) 221-5900
Mailing address
PO BOX 541626, DALLAS, TX 75354-1626
(214) 221-5900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11293-1209
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6998
TX
101YM0800X
Mental Health Counselor
19813
TX
101YP2500X
Professional Counselor
13423
TX
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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