| Tyler House | |
|
2716 Freedom Blvd Watsonville CA 95076-1027 | |
| (831) 688-6293 | |
| Not Available |
| Full Name | Tyler House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2716 Freedom Blvd, Watsonville, 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 |
|---|---|
| Tyler House 380 Encinal St Santa Cruz CA 95060-2178 Ph: (831) 469-1700 | Tyler House 2716 Freedom Blvd Watsonville CA 95076-1027 Ph: (831) 688-6293 |
| NPI Number | 1194955963 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194955963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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