Provider Demographics
NPI:1215525852
Name:C&C ADVOCACY AND HEALTH SERVICES
Entity type:Organization
Organization Name:C&C ADVOCACY AND HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CATHLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-929-1928
Mailing Address - Street 1:3655 OLD COURT RD STE 12
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3905
Mailing Address - Country:US
Mailing Address - Phone:443-929-1928
Mailing Address - Fax:410-800-2034
Practice Address - Street 1:3655 OLD COURT RD STE 12
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-3905
Practice Address - Country:US
Practice Address - Phone:443-929-1928
Practice Address - Fax:410-800-2034
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C&C ADVOCACY AND HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-08
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty