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Organization
PROJECT RENEW
Active
Organization
PROJECT RENEW
Active
Parent organization
PROVIDENCE SERVICE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE SERVICE CORPORATION
Authorized official
MELISSA FAITH WHITE (INTERN)
(562) 631-5881
Entity
Organization
Contact information
Practice address
315 AVENIDA SANTA BARBARA, UNIT D, SAN CLEMENTE, CA 92672-5357
(562) 631-5881
Mailing address
315 AVENIDA SANTA BARBARA, UNIT D, SAN CLEMENTE, CA 92672-5357
(562) 631-5881
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
Other
Enumeration date
09/23/2010
Last updated
07/21/2022
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