Providence Community Services

NPI #1962824649 in Cerritos, California

Provider Information

NPI Number: 1962824649
Entity Type: Organization
Organization Name: Providence Community Services
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 14, 2014
Last Updated: Jan 14, 2014

Practice Location

Address: 18000 STUDEBAKER RD
Address 2: SUITE 700
City: Cerritos
State: California
ZIP Code: 90703-2679
Phone: (562) 467-5577

Authorized Official

Name: MICHELLE MOLNAR
Title: DIRECTOR OF FINANCE
Phone: (562) 467-5577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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