Organization
CHANGING TIDES FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE MARIE SUNDBERG (DIRECTOR, FAMILY EMPOWERMENT SERVIC)
(707) 445-1195
Entity
Organization
Contact information
Practice address
3300 GLENWOOD ST, EUREKA, CA 95501-3463
(707) 445-5183
Mailing address
2259 MYRTLE AVE, EUREKA, CA 95501-3325
(707) 444-8293
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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