Provider Demographics
NPI:1821263716
Name:O.C.C.S., INC.
Entity Type:Organization
Organization Name:O.C.C.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:T
Authorized Official - Last Name:MAGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC II
Authorized Official - Phone:417-533-3221
Mailing Address - Street 1:687 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:MO
Mailing Address - Zip Code:65536-3568
Mailing Address - Country:US
Mailing Address - Phone:417-533-3221
Mailing Address - Fax:417-533-7766
Practice Address - Street 1:687 W ELM ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:MO
Practice Address - Zip Code:65536-3568
Practice Address - Country:US
Practice Address - Phone:417-533-3221
Practice Address - Fax:417-533-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO180251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health