# CCS MEDICAL THERAPY PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639223506
- **Authorized official:** MR. MATTHEW CONSTANTINE (DIRECTOR OF PUBLIC HEALTH SERVICES)
- **Authorized official phone:** (661) 868-0301

## Contact information

- **Practice address:** 601 4TH ST, BAKERSFIELD, CA 93304-2221
- **Practice address phone:** (661) 868-7270
- **Mailing address:** 1800 MT VERNON AVE, BAKERSFIELD, CA 93306
- **Mailing address phone:** (661) 868-0358
- **Mailing address fax:** (661) 868-0268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | CA | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 07/21/2022