Organization
COMMUNITY COUNSELING SERVICES INC
Active
Parent organization
COMMUNITY COUNSELING SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY COUNSELING SERVICES INC
Authorized official
MR. PAUL E SIPES CPA (CONTROLLER)
(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, PO BOX 765, BUCYRUS, OH 44820-2066
(419) 562-2000
(419) 562-1296
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177
ODMH CERTIFICATION
OH
01
—
1057
ODMH MACSIS
OH
05
—
2480748
—
OH
01
—
9220681
MEDICARE
OH
Enumeration date
03/05/2008
Last updated
03/05/2008
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