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County Of Santa Cruz
Adolescent and Children Mental Health Clinic/Center in Santa Cruz, California
NPI 1710021837

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 1710021837 and holds a License No. (California).

The current practice location address for County Of Santa Cruz is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4900 and via fax at 831-454-4663.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710021837
Provider Name
County Of Santa Cruz
Credential
Provider Entity Type
Organization
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4900
Fax Number
831-454-4663
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ92069Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
FHC70042F 01 CA SANTA CRUZ COUNTY MEDI-CAL GROUP#
4430 05 CA
1659315430 01 CA LEGAL ENTITY NPI#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4900
Fax Number
831-454-4663
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4900
Fax Number
831-454-4663
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
(California)
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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