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Organization
PROVIDENCE COMMUNITY SERVICES
Active
Organization
PROVIDENCE COMMUNITY SERVICES
Active
Other names
Catalyst Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAL LEO ST.CYR B.A. (CASE MANAGER)
(858) 300-0460
Entity
Organization
Contact information
Practice address
3240 OLIVE ST, APARTMENT #50, LEMON GROVE, CA 91945-1768
(619) 248-3835
Mailing address
3240 OLIVE ST, APARTMENT #50, LEMON GROVE, CA 91945-1768
(619) 248-3835
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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