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Organization

PROVIDENCE HUMAN SERVICES OF WA

Active
Parent organization
THE PROVIDENCE SERVICE CORPORATION
Other names
ACES Community Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE PROVIDENCE SERVICE CORPORATION
Authorized official
AMIKA DUPREE (DIRECTOR OF OPERATIONS)
(208) 619-0190
Entity
Organization

Contact information

Practice address
1700 E SCHNEIDMILLER AVE, POST FALLS, ID 83854-7085
(208) 619-0190
(208) 619-0195
Mailing address
1700 E SCHNEIDMILLER AVE, POST FALLS, ID 83854-7085
(208) 619-0190
(208) 619-0195

Taxonomy

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

Other

Enumeration date
08/04/2014
Last updated
08/04/2014
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