Provider Demographics
NPI:1508924721
Name:COMMUNITY ACTION COMMSSION
Entity Type:Organization
Organization Name:COMMUNITY ACTION COMMSSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QA
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:805-260-4676
Mailing Address - Street 1:120 W. CHESTNUT
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436
Mailing Address - Country:US
Mailing Address - Phone:805-740-4555
Mailing Address - Fax:805-740-4558
Practice Address - Street 1:120 W CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-5913
Practice Address - Country:US
Practice Address - Phone:805-740-4555
Practice Address - Fax:805-740-4558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable