Organization
CC & A FAMILY SERVICES INC #2
Active
Parent organization
CC & A FAMILY SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CC & A FAMILY SERVICES INC
Authorized official
MS. GAIL COACHMAN (OWNER)
(336) 299-6644
Entity
Organization
Contact information
Practice address
1005 BENJAMIN PKWY, GREENSBORO, NC 27408-7715
(336) 299-6644
(336) 464-2188
Mailing address
1005 BENJAMIN PKWY, GREENSBORO, NC 27408-7715
(336) 299-6644
(336) 464-2188
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL-041-847
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-041-847
NC
Other
Enumeration date
10/30/2007
Last updated
04/09/2008
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