# INTEGRATED COMMUNITY SERVICES

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

## Provider details

- **NPI number:** 1992849517
- **Authorized official:** DONNA LEMMON M.S. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (415) 455-8481

## Contact information

- **Practice address:** 3020 KERNER BLVD, SUITE A, SAN RAFAEL, CA 94901-5444
- **Practice address phone:** (415) 455-8481
- **Practice address fax:** (415) 455-8483
- **Mailing address:** 3020 KERNER BLVD, SUITE A, SAN RAFAEL, CA 94901-5444
- **Mailing address phone:** (415) 455-8481
- **Mailing address fax:** (415) 455-8483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 40679953 | CA | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 08/22/2020