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2901 Park Ave Suite A3 Soquel CA 95073-2831 | |
| (831) 346-6767 | |
| (831) 346-6771 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2901 Park Ave, Soquel, California |
| Authorized Official Name and Position | David A Bianchi (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8314239444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2901 Park Ave Suite A3 Soquel CA 95073-2831 Ph: (831) 346-6767 | 2901 Park Ave Suite A3 Soquel CA 95073-2831 Ph: (831) 346-6767 |
| NPI Number | 1891240131 |
|---|---|
| Provider Enumeration Date | 08/16/2016 |
| Last Update Date | 08/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891240131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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