Organization · Type 2 NPI
Community Couseling Center, Inc.
Mental Illness Community Based Residential Treatment Facility · Oklahoma City, OK
NPI number
1053687780
Active
Practice location
1700 NW 17th St
Oklahoma City, OK 73106-4212
Fax (405) 528-2436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 100728790-A (OK) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2 other providers at this address
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About NPI 1053687780
Community Couseling Center, Inc.'s National Provider Identifier is 1053687780, issued on Mar 27, 2012. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 27, 2012.