Provider Type Icon

CC & A FAMILY SERVICES INC #2 NPI 1689853467


NPI Information

NPI: 1689853467
Provider Name: CC & A FAMILY SERVICES INC #2
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1005 BENJAMIN PKWY
GREENSBORO, NC
ZIP 27408
Phone: (336) 299-6644
Get Directions

CC & A FAMILY SERVICES INC #2 is a residential treatment facility emotionally disturbed children in Greensboro, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. CC & A FAMILY SERVICES INC #2 NPI is 1689853467. The provider is registered as an organization entity type.

The provider's business location address is:

1005 BENJAMIN PKWY
GREENSBORO, NC
ZIP 27408-715
Phone: (336) 299-6644
Fax: (336) 464-2188

The provider's authorized official is Gail Coachman .
The authorized official title is Owner and has the following contact phone number (336) 299-6644.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 4/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessMHL-041-847NORTH CAROLINANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-847NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.