Youth Services | |
401 Old San Jose Rd Soquel CA 95073-2213 | |
(831) 429-8350 | |
Not Available |
Full Name | Youth Services |
---|---|
Speciality | Community/behavioral Health |
Location | 401 Old San Jose Rd, Soquel, California |
Authorized Official Name and Position | Carol Pruitt (PROGRAM MANAGER) |
Authorized Official Contact | 8314298350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Youth Services 709 Mission St Santa Cruz CA 95060-3614 Ph: () - | Youth Services 401 Old San Jose Rd Soquel CA 95073-2213 Ph: (831) 429-8350 |
NPI Number | 1467640623 |
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Provider Enumeration Date | 10/11/2007 |
Last Update Date | 10/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467640623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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