| Community Counseling Services Inc | |
|
2458 Stetzer Rd Bucyrus OH 44820-2066 | |
| (419) 562-2000 | |
| (419) 562-1296 |
| Full Name | Community Counseling Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2458 Stetzer Rd, Bucyrus, Ohio |
| Authorized Official Name and Position | Paul E Sipes (CONTROLLER) |
| Authorized Official Contact | 4195622000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Services Inc 2458 Stetzer Rd Po Box 765 Bucyrus OH 44820-2066 Ph: (419) 562-2000 | Community Counseling Services Inc 2458 Stetzer Rd Bucyrus OH 44820-2066 Ph: (419) 562-2000 |
| NPI Number | 1780854836 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780854836 | NPI | - | NPPES |
| 9220681 | Other | OH | MEDICARE |
| 0177 | Other | OH | ODMH CERTIFICATION |
| 1057 | Other | OH | ODMH MACSIS |
| 2480748 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0177 (Ohio) | Primary |
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