Providence Community Services
NPI #1467595140 in Lemon Grove, California
Provider Information
- NPI Number
- 1467595140
- Entity Type
- Organization
- Organization Name
- Providence Community Services
- Primary Specialty
- Case Management
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3240 OLIVE ST APT 50
- City
- Lemon Grove
- State
- California
- ZIP Code
- 91945-1721
- Phone
- (619) 248-3835
Authorized Official
- Name
- MR. JAMAL LEO ST.CYR, B.A.
- Title
- CASE MANAGER
- Phone
- (858) 300-0460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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