Organization
PROVIDENCE COMMUNITY SERVICES
Active
Other names
Catalyst Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMAL LEO ST.CYR B.A. (CASE MANAGER)
(858) 300-0460
Entity
Organization
Contact information
Practice address
3240 OLIVE ST, APARTMENT #50, LEMON GROVE, CA 91945-1768
(619) 248-3835
Mailing address
3240 OLIVE ST, APARTMENT #50, LEMON GROVE, CA 91945-1768
(619) 248-3835
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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