| Santa Cruz County | |
|
1400 Emeline Ave Santa Cruz CA 95060-1976 | |
| (831) 454-4220 | |
| (831) 454-4747 |
| Full Name | Santa Cruz County |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1400 Emeline Ave, Santa Cruz, California |
| Authorized Official Name and Position | William Francis Manov (ADMINISTRATOR) |
| Authorized Official Contact | 8314545220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Cruz County 1400 Emeline Ave Santa Cruz CA 95060-1976 Ph: (831) 454-4220 | Santa Cruz County 1400 Emeline Ave Santa Cruz CA 95060-1976 Ph: (831) 454-4220 |
| NPI Number | 1164978557 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 05/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164978557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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