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Organization

PROVIDENCE SERVICE CORPORATION

Active
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Organization

PROVIDENCE SERVICE CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICE KOH-KIM (PROGRAM DIRECTOR)
(714) 221-6400
Entity
Organization

Contact information

Practice address
2215 N BROADWAY, SANTA ANA, CA 92706-2663
(714) 221-6400
Mailing address
2215 N BROADWAY, SANTA ANA, CA 92706-2663

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—

Other

Enumeration date
10/02/2013
Last updated
10/02/2013
About Stedi
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  • EDI platform