Fee-For-Service-Mixed Specialty Group
NPI #1366640831 in Santa Cruz, California
Provider Information
- NPI Number
- 1366640831
- Entity Type
- Organization
- Organization Name
- Fee-For-Service-Mixed Specialty Group
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COUNTY OF SANTA CRUZ
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jul 6, 2007
- Last Updated
- Mar 4, 2008
Practice Location
- Address
- 1400 EMELINE AVE
- City
- Santa Cruz
- State
- California
- ZIP Code
- 95060-1976
- Phone
- (831) 454-4170
Authorized Official
- Name
- RAMA KHALSA, PH.D.
- Title
- HEALTH SERVICES AGENCY DIRECTOR
- Phone
- (831) 454-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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