Organization
COLLEGE COMMUNITY SERVICES
Active
Other names
AMHS Clarvida OASIS FSP
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
1855 W KATELLA AVE, SUITE 150 AND 270, ORANGE, CA 92867-3451
(714) 399-3480
(714) 399-3481
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
—
30DC
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
02/21/2007
Last updated
05/22/2025
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