Provider Demographics
NPI:1457821316
Name:COMMUNITY COUNSELING AND CORRECTIONAL SERVICES INC
Entity Type:Organization
Organization Name:COMMUNITY COUNSELING AND CORRECTIONAL SERVICES INC
Other - Org Name:CCCS, INC. - TOXICOLOGY LABORATORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:CPB
Authorized Official - Phone:406-496-1172
Mailing Address - Street 1:471 E MERCURY ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-1906
Mailing Address - Country:US
Mailing Address - Phone:406-782-0417
Mailing Address - Fax:406-782-6964
Practice Address - Street 1:200 S CLARK ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-1500
Practice Address - Country:US
Practice Address - Phone:406-496-1172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty
No247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physicianGroup - Multi-Specialty