| River Street Shelter | |
|
115c Coral St Santa Cruz CA 95060-2148 | |
| (831) 459-6644 | |
| Not Available |
| Full Name | River Street Shelter |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 115c Coral St, 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 |
|---|---|
| River Street Shelter 542 Ocean St Ste K Santa Cruz CA 95060-6622 Ph: (831) 459-0444 | River Street Shelter 115c Coral St Santa Cruz CA 95060-2148 Ph: (831) 459-6644 |
| NPI Number | 1689876567 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689876567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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