Organization
COMMUNITY-BASED SERVICES & CONSULTING GROUP, INC.
Active
Organization
COMMUNITY-BASED SERVICES & CONSULTING GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKEY D STANDRIDGE (EXECUTIVE DIRECTOR)
(352) 465-3551
Entity
Organization
Contact information
Practice address
20491 THE GRANADA, DUNNELLON, FL 34432-6064
(352) 465-3551
Mailing address
16083 SW 22ND LN, OCALA, FL 34481-8729
(352) 465-3551
(352) 465-3549
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686171796
PROVIDER ID NUMBER
FL
01
—
686171798
PROVIDER ID NUMBER
FL
Enumeration date
11/30/2006
Last updated
06/10/2008
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