|
| |
|
9 Crestview Dr Watsonville CA 95076-2723 | |
| (831) 454-5179 | |
| (831) 454-4663 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9 Crestview Dr, Watsonville, 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 |
|---|---|
1400 Emeline Ave Santa Cruz CA 95060-1976 Ph: (831) 454-4170 | 9 Crestview Dr Watsonville CA 95076-2723 Ph: (831) 454-5179 |
| NPI Number | 1992849012 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992849012 | NPI | - | NPPES |
| 44CL | Medicaid | CA | |
| 1659315430 | Other | CA | LEGAL ENTITY NPI# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (California) | Primary |
Pajaro Valley Prevention And Student Assistance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6300 Fax: 831-761-6011 | |
Pajaro Valley Prevention And Student Assistance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Lake Ave, Watsonville, CA 95076 Phone: 831-728-6300 Fax: 831-761-6011 | |