| Community Connection | |
|
300 Harvey West Blvd Santa Cruz CA 95060-2103 | |
| (831) 425-8132 | |
| (831) 425-4581 |
| Full Name | Community Connection |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 300 Harvey West Blvd, Santa Cruz, California |
| Authorized Official Name and Position | Kenneth William Boston (PROGRAM COORIDINATOR) |
| Authorized Official Contact | 8314258132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Connection 300 Harvey West Blvd Santa Cruz CA 95060-2103 Ph: (831) 425-8132 | Community Connection 300 Harvey West Blvd Santa Cruz CA 95060-2103 Ph: (831) 425-8132 |
| NPI Number | 1407075658 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407075658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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