Organization
COLLEGE COMMUNITY SERVICES
Active
Other names
Clarvida, Wellness Center
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
401 S TUSTIN ST, BUILDING #C, ORANGE, CA 92866-2550
(714) 361-4860
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
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
10/13/2016
Last updated
06/03/2024
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