| Community-based Services & Consulting Group, Inc. | |
|
20491 The Granada Dunnellon FL 34432-6064 | |
| (352) 465-3551 | |
| Not Available |
| Full Name | Community-based Services & Consulting Group, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20491 The Granada, Dunnellon, Florida |
| Authorized Official Name and Position | Rickey D Standridge (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3524653551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community-based Services & Consulting Group, Inc. 16083 Sw 22nd Ln Ocala FL 34481-8729 Ph: (352) 465-3551 | Community-based Services & Consulting Group, Inc. 20491 The Granada Dunnellon FL 34432-6064 Ph: (352) 465-3551 |
| NPI Number | 1033286356 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033286356 | NPI | - | NPPES |
| 686171798 | Other | FL | PROVIDER ID NUMBER |
| 686171796 | Other | FL | PROVIDER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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