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County Of Santa Cruz
Adolescent and Children Mental Health Clinic/Center in Santa Cruz, California
NPI 1578680310

County Of Santa Cruz is an Adolescent and Children Mental Health Clinic/Center based in Santa Cruz, CA and is specialized in Adolescent and Children Mental Health. County Of Santa Cruz practices in Santa Cruz, CA. The NPI Number for County Of Santa Cruz is 1578680310 and holds a License No. (California).

The current practice location address for County Of Santa Cruz is 1080 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4100 and via fax at 831-454-4296.

Location: 1080 Emeline Ave, Santa Cruz, CA, 95060-1966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578680310
Provider Name
County Of Santa Cruz
Credential
Provider Entity Type
Organization
Address
1080 Emeline Ave, Santa Cruz, CA, 95060-1966
Phone Number
831-454-4100
Fax Number
831-454-4296
Provider Enumeration Date
03/26/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC70042F 05 CA
HAP70042F 01 CA STATE - FAMILY PLANNING
BCP70042F 01 CA CANCER DETECTION PROGRM
1659315430 01 CA LEGAL ENTITY NPI
institution
Provider Business Practice Location Address Details
Address
1080 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1966
Phone Number
831-454-4100
Fax Number
831-454-4296
person
Provider Business Mailing Address Details
Address
1080 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1966
Phone Number
831-454-4100
Fax Number
831-454-4296
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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