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Organization

EL DORADO COMMUNITY SERVICE CENTER

Active
Other names
SANTA CLARITA MEDICAL & MENTAL HEALTH SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA ANN BLANKS (EXECUTIVE DIRECTOR)
(661) 254-6630
Entity
Organization

Contact information

Practice address
24625 ARCH ST, NEWHALL, CA 91321-1111
(661) 288-2644
(661) 288-1669
Mailing address
PO BOX 801809, VALENCIA, CA 91380-1809
(661) 254-6630
(661) 254-6644

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
261QP2300X
Primary Care Clinic/Center
Primary
960000933
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19-137
CA
05
6714
CA
05
CMM70648F
CA
Enumeration date
11/07/2006
Last updated
10/31/2025
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