Providence Recovery Center, Inc.

NPI #1164511465 in Santa Cruz, California

Provider Information

NPI Number
1164511465
Entity Type
Organization
Organization Name
Providence Recovery Center, Inc.
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Oct 12, 2006
Last Updated
May 18, 2010

Practice Location

Address
831 PAGET AVE
ZIP Code
95062-4112
Phone
(831) 475-1326

Authorized Official

Name
MS. CLAUDIA JANE PORTER, CAC
Title
EXECUTIVE DIRECTOR
Phone
(831) 475-1326

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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