| Tessie Cleveland Community Services Corporation | |
|
450 W Palmdale Blvd Suite B Palmdale CA 93551-3104 | |
| (323) 586-7333 | |
| (310) 965-9791 |
| Full Name | Tessie Cleveland Community Services Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 450 W Palmdale Blvd, Palmdale, California |
| Authorized Official Name and Position | Shronda Givens (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3235867333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tessie Cleveland Community Services Corporation 8019 Compton Ave Los Angeles CA 90001-3409 Ph: (323) 586-7333 | Tessie Cleveland Community Services Corporation 450 W Palmdale Blvd Suite B Palmdale CA 93551-3104 Ph: (323) 586-7333 |
| NPI Number | 1003293721 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003293721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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