Provider Demographics
NPI:1255665410
Name:C & C THERAPEUTIC SERVICES, INC.
Entity Type:Organization
Organization Name:C & C THERAPEUTIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:DODSON
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MOT,OTR/L
Authorized Official - Phone:304-327-6524
Mailing Address - Street 1:146 HARRY HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:24701-9473
Mailing Address - Country:US
Mailing Address - Phone:304-327-6524
Mailing Address - Fax:304-327-6524
Practice Address - Street 1:146 HARRY HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:WV
Practice Address - Zip Code:24701-9473
Practice Address - Country:US
Practice Address - Phone:304-327-6524
Practice Address - Fax:304-327-6524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency