Organization
COMMUNITY COUNSELING CENTERS, INC
Active
Organization
COMMUNITY COUNSELING CENTERS, INC
Active
Other names
Winslow Developmental Disabilities
Organization subpart
No
Provider details
NPI number
Authorized official
BETH CARLSON (PROGRAM MANAGER)
(928) 289-3383
Entity
Organization
Contact information
Practice address
1008 E FIRST ST, WINSLOW, AZ 86047-4104
(928) 289-3383
(928) 289-3385
Mailing address
1008 E FIRST ST, WINSLOW, AZ 86047-4104
(928) 289-3383
(928) 289-3385
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108490
—
AZ
Enumeration date
04/05/2011
Last updated
04/05/2011
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