Organization
COMMUNITY COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J SACCENTI (EXECUTIVE DIRECTOR)
(419) 562-2000
Entity
Organization
Contact information
Practice address
2458 STETZER RD, BUCYRUS, OH 44820-2066
(419) 562-2000
(419) 562-1296
Mailing address
2458 STETZER RD, P.O. BOX 765, BUCYRUS, OH 44820-2066
(419) 562-2000
(419) 562-1296
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
0177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2444653
—
OH
Enumeration date
05/10/2012
Last updated
05/10/2012
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