| College Community Services | |
|
16940 Highway 14 Ste C-j Mojave CA 93501-1238 | |
| (661) 824-5020 | |
| (661) 824-5026 |
| Full Name | College Community Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16940 Highway 14 Ste C-j, Mojave, California |
| Authorized Official Name and Position | Tracy Ginter (DIRECTOR OF STATE OPERATIONS) |
| Authorized Official Contact | 6574659497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| College Community Services 8337 Telegraph Rd Ste 115 Pico Rivera CA 90660-4940 Ph: (562) 467-5440 | College Community Services 16940 Highway 14 Ste C-j Mojave CA 93501-1238 Ph: (661) 824-5020 |
| NPI Number | 1013122514 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013122514 | NPI | - | NPPES |
| 15AK | Medicaid | CA | |
| 1539 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Rhema Rehabilitation Centers Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2069 Inyo St, Mojave, CA 93501 Phone: 661-754-1009 | |
Trinity Care Adhc, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15862 K St, Mojave, CA 93501 Phone: 888-575-5048 Fax: 661-840-5933 |