Healthcare Provider Details

I. General information

NPI: 1942890496
Provider Name (Legal Business Name): CALIFORNIA COMMUNITY CARE CLINICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2021
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1352 COLUSA HWY STE C
YUBA CITY CA
95993-9147
US

IV. Provider business mailing address

1283 MURFREESBORO PIKE STE 500
NASHVILLE TN
37217-2421
US

V. Phone/Fax

Practice location:
  • Phone: 530-618-8178
  • Fax:
Mailing address:
  • Phone: 615-466-3507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN DESCOTEAUX
Title or Position: PRESIDENT
Credential:
Phone: 508-599-4802