Provider Demographics
NPI:1811050420
Name:COMMUNITY COUNCIL OF SOUTH CENTRAL TEXAS, INC.
Entity type:Organization
Organization Name:COMMUNITY COUNCIL OF SOUTH CENTRAL TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:830-303-4376
Mailing Address - Street 1:205 A. E. COURT STREET
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5705
Mailing Address - Country:US
Mailing Address - Phone:830-372-3690
Mailing Address - Fax:830-372-5354
Practice Address - Street 1:808 E PINE ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-2841
Practice Address - Country:US
Practice Address - Phone:830-379-7818
Practice Address - Fax:830-372-2848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare