| Changing Tides Family Services | |
|
3300 Glenwood St Eureka CA 95501-3463 | |
| (707) 445-5183 | |
| Not Available |
| Full Name | Changing Tides Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3300 Glenwood St, Eureka, California |
| Authorized Official Name and Position | Connie Marie Sundberg (DIRECTOR, FAMILY EMPOWERMENT SERVIC) |
| Authorized Official Contact | 7074451195 |
| 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 3300 Glenwood St Eureka CA 95501-3463 Ph: (707) 445-5183 |
| NPI Number | 1336453505 |
|---|---|
| Provider Enumeration Date | 07/30/2010 |
| Last Update Date | 07/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336453505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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