| Changing Tides Family Services | |
|
2257 Myrtle Ave Eureka CA 95501-3486 | |
| (707) 444-8293 | |
| (707) 444-8298 |
| Full Name | Changing Tides Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2257 Myrtle Ave, Eureka, California |
| Authorized Official Name and Position | Connie Sundberg (FAMILY EMPOWERMENT SERVICES DIRECTO) |
| Authorized Official Contact | 7074448293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Tides Family Services 2259 Myrtle Ave Eureka CA 95501-3325 Ph: (707) 444-8293 | Changing Tides Family Services 2257 Myrtle Ave Eureka CA 95501-3486 Ph: (707) 444-8293 |
| NPI Number | 1992338669 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992338669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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