| Health Services Agency-mental Health Division | |
|
115a Coral St Santa Cruz CA 95060-2104 | |
| (831) 454-5179 | |
| (831) 454-4663 |
| Full Name | Health Services Agency-mental Health Division |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 115a Coral St, Santa Cruz, California |
| Authorized Official Name and Position | Rama Khalsa (HEALTH SERVICES AGENCY DIRECTOR) |
| Authorized Official Contact | 8314544000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Services Agency-mental Health Division 1400 Emeline Ave Santa Cruz CA 95060-1976 Ph: (831) 454-4170 | Health Services Agency-mental Health Division 115a Coral St Santa Cruz CA 95060-2104 Ph: (831) 454-5179 |
| NPI Number | 1821133695 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 03/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821133695 | NPI | - | NPPES |
| 1659315430 | Other | CA | LEGAL ENTITY NPI# |
| 44BX | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (California) | Primary |
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