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Organization
CCS MEDICAL THERAPY PROGRAM
Active
Organization
CCS MEDICAL THERAPY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW CONSTANTINE (DIRECTOR OF PUBLIC HEALTH SERVICES)
(661) 868-0301
Entity
Organization
Contact information
Practice address
601 4TH ST, BAKERSFIELD, CA 93304-2221
(661) 868-7270
Mailing address
1800 MT VERNON AVE, BAKERSFIELD, CA 93306
(661) 868-0358
(661) 868-0268
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
CA
Other
Enumeration date
01/22/2007
Last updated
07/21/2022
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