Provider Demographics
NPI:1982737425
Name:SOUTH CENTRAL TRAINING CONSORTIUM, INC.
Entity Type:Organization
Organization Name:SOUTH CENTRAL TRAINING CONSORTIUM, INC.
Other - Org Name:OUTREACH COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:BRINKLEY
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:661-943-3708
Mailing Address - Street 1:5022 W AVENUE N STE 102-21
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-5757
Mailing Address - Country:US
Mailing Address - Phone:661-943-3708
Mailing Address - Fax:661-349-4633
Practice Address - Street 1:5022 W AVENUE N STE 102-21
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-5757
Practice Address - Country:US
Practice Address - Phone:661-943-3708
Practice Address - Fax:661-349-4633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1876925251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable