College Community Services
Organization Active NPI Community/Behavioral Health Agency · Pico Rivera, CA
NPI 1780912477 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1780912477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COLLEGE COMMUNITY SERVICES
- Practice address
- 8337 Telegraph Rd Ste 115
Pico Rivera, CA 90660-4940 - Phone
- (562) 467-5577
- Fax
- (562) 467-5553
- NPI assigned
- Nov 18, 2009
- Organization subpart
- No
Authorized official
- Name
- Tracy Ginter, MBA, CBCS
- Title
- Director of State Operations
- Phone
- (657) 465-9497
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- College Community Servi
Locations
4281 Katella Ave
Ste 201
Los Alamitos, CA 90720
Phone (714) 309-0379
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
8337 Telegraph Rd Ste 115
Pico Rivera, CA 90660-4940
Mailing address
8337 Telegraph Rd Ste 115
Pico Rivera, CA 90660-4940
Phone (562) 467-5577
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N/A | Other | CA | MEDICAL PROVIDER NUMBER |
Other names
- Clarvida
- Pathways
Other providers in Pico Rivera, CA
- Changwon Chun
- Youngmi Chun
- CJ Young Dental Corp.
- Cleanmaster Industries Inc
- Cohen Sedgh, Manavi & Pakravan Dental Corporation
- Consumerhealth, Inc.
- Consumerhealth, Inc.
- Core Hospice Inc
- Jessica Corella
- Maria Guadalupe Correa
All providers in Pico Rivera, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.