South Coast Community Services | |
1461 E Cooley Dr Suite 100 Colton CA 92324-3921 | |
(909) 809-7337 | |
Not Available |
Full Name | South Coast Community Services |
---|---|
Speciality | Community/behavioral Health |
Location | 1461 E Cooley Dr, Colton, California |
Authorized Official Name and Position | Kathleen Darling (COO) |
Authorized Official Contact | 9098384274 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Coast Community Services 25910 Acero Ste 160 Mission Viejo CA 92691-2777 Ph: (909) 980-7000 | South Coast Community Services 1461 E Cooley Dr Suite 100 Colton CA 92324-3921 Ph: (909) 809-7337 |
NPI Number | 1215204201 |
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Provider Enumeration Date | 11/19/2011 |
Last Update Date | 08/01/2022 |
Certification Date | 08/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215204201 | NPI | - | NPPES |
36EREW | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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