Organization
CHANGING TIDES FAMILY SERVICES
Active
Organization
CHANGING TIDES FAMILY SERVICES
Active
Other names
Humboldt Child Care Council
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MARIE SUNDBERG (DIRECTOR, FAMILY EMPOWERMENT SERVIC)
(707) 444-8293
Entity
Organization
Contact information
Practice address
2259 MYRTLE AVE, EUREKA, CA 95501-3325
(707) 444-8293
(707) 444-8298
Mailing address
2259 MYRTLE AVE, EUREKA, CA 95501-3325
(707) 444-8293
(707) 444-8298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
01/05/2016
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