Organization
COLLEGE COMMUNITY SERVICES
Active
Other names
Clarvida
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
820 6TH STREET, WASCO, CA 93280
(661) 758-4029
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
05
—
15A2
—
CA
Enumeration date
05/04/2007
Last updated
06/03/2024
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