| College Community Services | |
|
1400 N Norma St Ste 127-133 Ridgecrest CA 93555-2575 | |
| (651) 505-5614 | |
| Not Available |
| Full Name | College Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1400 N Norma St Ste 127-133, Ridgecrest, California |
| Authorized Official Name and Position | Tracy Ginter (DIRECTOR OF STATE OPERATIONS) |
| Authorized Official Contact | 6574659497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| College Community Services 8337 Telegraph Rd Ste 300 Pico Rivera CA 90660-4957 Ph: (562) 467-5440 | College Community Services 1400 N Norma St Ste 127-133 Ridgecrest CA 93555-2575 Ph: (651) 505-5614 |
| NPI Number | 1043025158 |
|---|---|
| Provider Enumeration Date | 02/07/2025 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043025158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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