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COMMUNITY COUNSELING CENTERS INC NPI 1699064188


NPI Information

NPI: 1699064188
Provider Name: COMMUNITY COUNSELING CENTERS, INC

Other Name: WINSLOW DEVELOPMENTAL DISABILITIES

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1008 E FIRST ST
WINSLOW, AZ
ZIP 86047
Phone: (928) 289-3383
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COMMUNITY COUNSELING CENTERS, INC is a day training developmentally disabled services in Winslow, AZ. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. COMMUNITY COUNSELING CENTERS, INC NPI is 1699064188. The provider is registered as an organization entity type.
The provider Other Name Is Winslow Developmental Disabilities.

The provider's business location address is:

1008 E FIRST ST
WINSLOW, AZ
ZIP 86047-104
Phone: (928) 289-3383
Fax: (928) 289-3385

The provider's authorized official is Beth Carlson .
The authorized official title is Program Manager and has the following contact phone number (928) 289-3383.

The enumeration date for this NPI number is 4/5/2011 and was last updated on 4/5/2011.


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
1385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
2385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
3251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1108490MEDICAIDARIZONA

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

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