Organization
COLLEGE COMMUNITY SERVICES
Active
Parent organization
PROVIDENCE COMMUNITY SERVICES
Other names
ADAS CCS CalWorks Westminster, Clarvida
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE COMMUNITY SERVICES
Authorized official
TRACY GINTER MBA, CBCS (DIRECTOR OF STATE OPERATIONS)
(657) 465-9497
Entity
Organization
Contact information
Practice address
13950 MILTON AVE, SUITE 306, WESTMINSTER, CA 92683-2900
(714) 793-1290
(714) 793-1267
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
Enumeration date
08/28/2012
Last updated
06/03/2024
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