Organization
INTEGRATED COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LEMMON M.S. (EXECUTIVE DIRECTOR)
(415) 455-8481
Entity
Organization
Contact information
Practice address
3020 KERNER BLVD, SUITE A, SAN RAFAEL, CA 94901-5444
(415) 455-8481
(415) 455-8483
Mailing address
3020 KERNER BLVD, SUITE A, SAN RAFAEL, CA 94901-5444
(415) 455-8481
(415) 455-8483
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
40679953
CA
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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