Healthcare Provider Details

I. General information

NPI: 1649023664
Provider Name (Legal Business Name): C&C ADVOCACY AND HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2024
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 GEORGIA AVE
SILVER SPRING MD
20910-1713
US

IV. Provider business mailing address

9301 GEORGIA AVE
SILVER SPRING MD
20910-1713
US

V. Phone/Fax

Practice location:
  • Phone: 301-364-0610
  • Fax: 304-578-2115
Mailing address:
  • Phone: 301-364-0610
  • Fax: 304-578-2115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: CATHLYN CLARKE
Title or Position: FOUNDER/CEO
Credential:
Phone: 410-800-2545