# PROVIDENCE COMMUNITY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013085075
- **Authorized official:** MS. MARIA ELENA JIMENEZ MSW (LEAD SUPERVISOR)
- **Authorized official phone:** 17142216400

## Contact information

- **Practice address:** 1246 OAK ST, SANTA ANA, CA 92707-1344
- **Practice address phone:** (714) 745-0619
- **Mailing address:** 1246 OAK ST, SANTA ANA, CA 92707-1344
- **Mailing address phone:** (714) 745-0619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 11/19/2013