Organization
C&C CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVONNE L COX (ADMINISTRATOR)
(770) 256-0318
Entity
Organization
Contact information
Practice address
990 HARBINS VIEW DR, DACULA, GA 30019-7035
(770) 256-0318
Mailing address
734 STRATTON CT, DACULA, GA 30019-1271
(770) 256-0318
(770) 277-5857
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028537914A
—
GA
05
—
028537914B
—
GA
05
—
028537914C
—
GA
Enumeration date
02/19/2009
Last updated
02/19/2009
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