Providence Community Service

NPI 1295156040 - Counselor - 101YM0800X

NPI Details
NPI 1295156040
Enumeration Date 12/20/2013
Last Updated 12/20/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MICHELLE ANN MICHELLE
Position DIRECTOR OF FINANCE
Phone (855) 845-6293
Fax
Practice Location
8880 RIO SAN DIEGO DR
SUITE 800
SAN DIEGO CA, 92108-1634, US
Phone (855) 845-6293
Fax
Business Location
4281 KATELLA AVE STE 201
LOS ALAMITOS CA, 90720-6509, US
Phone (562) 467-5577
Fax (562) 467-5553
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Providence Community Service NPI is 1295156040, taxonomy code is 101YM0800X Providence Community Service physically located at 8880 Rio San Diego Dr, San Diego CA, 92108-1634. NPI Number 1033115704 has the healthcare provider type.

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1295156040 NPI number is provided on an as is basis without warranty of any kind. 1295156040 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Community Service are for informational purposes only.