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Organization
PATHWAYS COMMUNITY SERVICES LLC
Active
Organization
PATHWAYS COMMUNITY SERVICES LLC
Active
Other names
CYS Clarvida - Fullerton
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY GINTER MBA, CBCS (DIRECTOR OF STATE OPERATIONS)
(657) 465-9497
Entity
Organization
Contact information
Practice address
1501 E ORANGETHORPE AVE STE 200, FULLERTON, CA 92831-5205
(714) 254-8473
Mailing address
8337 TELEGRAPH RD STE 300, PICO RIVERA, CA 90660-4957
(562) 467-5440
(562) 467-5553
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30BG
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
02/22/2007
Last updated
12/16/2024
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