College Community Services
NPI #1104154533 in Lake Isabella, California
Provider Information
- NPI Number
- 1104154533
- Entity Type
- Organization
- Organization Name
- College Community Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 23, 2009
- Last Updated
- Jun 3, 2024
Practice Location
- Address
- 2717 NUGGET AVENUE
- City
- Lake Isabella
- State
- California
- ZIP Code
- 93240
- Phone
- (760) 379-3412
Authorized Official
- Name
- TRACY GINTER, MBA, CBCS
- Title
- DIRECTOR OF STATE OPERATIONS
- Phone
- (657) 465-9497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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