Provider Demographics
NPI:1043479678
Name:CENTRAL COUNTY ONE STOP
Entity Type:Organization
Organization Name:CENTRAL COUNTY ONE STOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MHSA COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:559-732-8086
Mailing Address - Street 1:810 N CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2208
Mailing Address - Country:US
Mailing Address - Phone:559-687-8713
Mailing Address - Fax:
Practice Address - Street 1:810 N CHERRY ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2208
Practice Address - Country:US
Practice Address - Phone:559-687-8713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty