| Dominican Hospital Partial Hospitalization | |
|
947 El Dorado Ave Santa Cruz CA 95062-2863 | |
| (831) 479-7195 | |
| (831) 479-0284 |
| Full Name | Dominican Hospital Partial Hospitalization |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 947 El Dorado Ave, Santa Cruz, California |
| Authorized Official Name and Position | Georgette Dufresne (MANAGER) |
| Authorized Official Contact | 8314797195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominican Hospital Partial Hospitalization 947 El Dorado Ave Santa Cruz CA 95062-2863 Ph: (831) 479-7195 | Dominican Hospital Partial Hospitalization 947 El Dorado Ave Santa Cruz CA 95062-2863 Ph: (831) 479-7195 |
| NPI Number | 1023228574 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023228574 | NPI | - | NPPES |
| 44AL | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (California) | Primary |
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