Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1164554887 |
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| LBN Legal business name | COMMUNITY CHRISTIAN COUNSELING CENTER | ||||
| Authorized official | ELIZABETH BELFLOWER - (PRESIDENT OF BOARD) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/09/2007 | ||||
| Last updated | 07/25/2008 - About 18 years ago | ||||
| Identifiers |
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