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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