PROVIDENCE COMMUNITY SERVICES

COSTA MESA, CA
NPI1366722852
Entity TypeOrganization
Authorized ContactCHRISTINA SWANSON
Intern
909-518-1049
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2011-08-28
Last Update Date2011-08-28
Business Address
PROVIDENCE COMMUNITY SERVICES
3188 AIRWAY AVE UNIT F
COSTA MESA, CA 92626-4652
Phone number: 714-689-1380
Mailing Address
PROVIDENCE COMMUNITY SERVICES
1219 RUTLAND RD
NEWPORT BEACH, CA 92660-4627
Phone number: 909-518-1049
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