Organization
PROVIDENCE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH WARD LMFT (CLINICAL DIRECTOR)
(949) 515-5440
Entity
Organization
Contact information
Practice address
1345 CABRILLO PARK DR, Q14, SANTA ANA, CA 92701-3108
(949) 515-5440
(949) 515-5444
Mailing address
1345 CABRILLO PARK DR, Q14, SANTA ANA, CA 92701-3108
(949) 515-5440
(949) 515-5444
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251B00000X
CA
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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