| Organization Name: | COMMUNITY CARE CENTER INC |
| NPI Number: | 1093712754 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ESAU ARNOLD MCMORRIS (PRESIDENT) |
| Mailing Address: | 110 S Queen St 110 South Queen Street Suite 118 Kinston |
| State: | NC US |
| Postal Code: | 285014975 |
| Phone Number: | 2522081928 |
| Fax Number: | 2525592055 |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 101YA00000X |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |