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284 Pennsylvania Dr Ste 1&2 Watsonville CA 95076-3768 | |
(831) 319-4200 | |
(831) 319-4204 |
Full Name | |
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Speciality | Clinic/Center |
Location | 284 Pennsylvania Dr Ste 1&2, Watsonville, California |
Authorized Official Name and Position | Amber Williams (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8312787906 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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200 7th Avenue Suite 150 Santa Cruz CA 95062-4668 Ph: (831) 462-1060 | 284 Pennsylvania Dr Ste 1&2 Watsonville CA 95076-3768 Ph: (831) 319-4200 |
NPI Number | 1649601550 |
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Provider Enumeration Date | 12/02/2013 |
Last Update Date | 02/23/2022 |
Certification Date | 02/23/2022 |
Medicare PECOS PAC ID | 6608202171 |
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Medicare Enrollment ID | O20200130003075 |
Identifier | Type | State | Issuer |
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1649601550 | NPI | - | NPPES |
44AB | Medicaid | CA | |
44AC | Medicaid | CA |
Pajaro Valley Prevention And Student Assistance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6300 Fax: 831-761-6011 | |
Pajaro Valley Prevention And Student Assistance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6300 Fax: 831-761-6011 | |