# PROVIDENCE COMMUNITY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Catalyst Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801920319
- **Authorized official:** MR. JAMAL LEO ST.CYR B.A. (CASE MANAGER)
- **Authorized official phone:** (858) 300-0460

## Contact information

- **Practice address:** 3240 OLIVE ST, APARTMENT \#50, LEMON GROVE, CA 91945-1768
- **Practice address phone:** (619) 248-3835
- **Mailing address:** 3240 OLIVE ST, APARTMENT \#50, LEMON GROVE, CA 91945-1768
- **Mailing address phone:** (619) 248-3835

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020