Organization
COMMUNITY CARE COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF KNODEL (CFO)
(512) 978-8191
Entity
Organization
Contact information
Practice address
1111 E CESAR CHAVEZ ST, AUSTIN, TX 78702-4209
(512) 978-8000
(512) 978-8156
Mailing address
1111 E CESAR CHAVEZ ST, AUSTIN, TX 78702-4209
(512) 978-8000
(512) 978-8156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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