| El Dorado | |
|
941 El Dorado Ave Santa Cruz CA 95062-2863 | |
| (831) 479-9494 | |
| Not Available |
| Full Name | El Dorado |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 941 El Dorado Ave, Santa Cruz, California |
| Authorized Official Name and Position | Monica Martinez (CEO) |
| Authorized Official Contact | 8314691700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado 380 Encinal St Ste 200 Santa Cruz CA 95060-2178 Ph: (831) 469-1700 | El Dorado 941 El Dorado Ave Santa Cruz CA 95062-2863 Ph: (831) 479-9494 |
| NPI Number | 1447474853 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 09/30/2022 |
| Certification Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447474853 | NPI | - | NPPES |
| 445200358 | Other | CA | DSS - COM. CARE LICENSING |
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