Organization
PROJECT RENEW
Active
Parent organization
PROVIDENCE SERVICE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE SERVICE CORPORATION
Authorized official
MELISSA FAITH WHITE (INTERN)
(562) 631-5881
Entity
Organization
Contact information
Practice address
315 AVENIDA SANTA BARBARA, UNIT D, SAN CLEMENTE, CA 92672-5357
(562) 631-5881
Mailing address
315 AVENIDA SANTA BARBARA, UNIT D, SAN CLEMENTE, CA 92672-5357
(562) 631-5881
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
CA
Other
Enumeration date
09/23/2010
Last updated
07/21/2022
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