Organization
PROVIDENCE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA ELENA JIMENEZ MSW (LEAD SUPERVISOR)
17142216400
Entity
Organization
Contact information
Practice address
1246 OAK ST, SANTA ANA, CA 92707-1344
(714) 745-0619
Mailing address
1246 OAK ST, SANTA ANA, CA 92707-1344
(714) 745-0619
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
11/19/2013
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