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Providence Recovery Center, Inc.
Substance Abuse Rehabilitation Facility in Santa Cruz, California
NPI 1164511465

Providence Recovery Center, Inc. is a Substance Abuse Rehabilitation Facility based in Capitola, CA. Providence Recovery Center, Inc. practices in Santa Cruz, CA. The NPI Number for Providence Recovery Center, Inc. is 1164511465 and holds a License No. 440013AP (California).

The current practice location address for Providence Recovery Center, Inc. is 831 Paget Ave, Santa Cruz, CA and can be reached out via phone at 831-475-1326 and via fax at 831-475-7881.

Location: 831 Paget Ave, Santa Cruz, CA, 95010-0701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164511465
Provider Name
Providence Recovery Center, Inc.
Credential
Provider Entity Type
Organization
Address
831 Paget Ave, Santa Cruz, CA, 95010-0701
Phone Number
831-475-1326
Fax Number
831-475-7881
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
831 Paget Ave
City
Santa Cruz
State
California
Zip
95062-4112
Phone Number
831-475-1326
Fax Number
831-475-7881
person
Provider Business Mailing Address Details
Address
831 Paget Ave
City
Santa Cruz
State
California
Zip
95062-4112
Phone Number
831-475-1326
Fax Number
831-475-7881
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
440013AP (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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