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Organization

COLLEGE COMMUNITY SERVICES

Active
Other names
Pathways, 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
8337 TELEGRAPH RD STE 115, PICO RIVERA, CA 90660-4940
(562) 467-5577
(562) 467-5553
Mailing address
8337 TELEGRAPH RD STE 115, PICO RIVERA, CA 90660-4940
(562) 467-5577
(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
N/A
MEDICAL PROVIDER NUMBER
CA
Enumeration date
11/18/2009
Last updated
06/03/2024
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