Provider Demographics
NPI:1285277202
Name:COMMUNITY CONSCIOUS CULTURAL EVENTS (C3E, INC.)
Entity type:Organization
Organization Name:COMMUNITY CONSCIOUS CULTURAL EVENTS (C3E, INC.)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOLISTIC HEALTH CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:SHAI
Authorized Official - Last Name:HANKINS
Authorized Official - Suffix:
Authorized Official - Credentials:CONSULTANT
Authorized Official - Phone:347-427-8668
Mailing Address - Street 1:13220 116TH AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11420-2646
Mailing Address - Country:US
Mailing Address - Phone:347-427-8668
Mailing Address - Fax:
Practice Address - Street 1:13220 116TH AVE
Practice Address - Street 2:
Practice Address - City:SOUTH OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11420-2646
Practice Address - Country:US
Practice Address - Phone:347-427-8668
Practice Address - Fax:718-425-0864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service