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South County Mental Health
Adolescent and Children Mental Health Clinic/Center in Watsonville, California
NPI 1801930920

South County Mental Health is an Adolescent and Children Mental Health Clinic/Center based in Santa Cruz, CA and is specialized in Adolescent and Children Mental Health. South County Mental Health practices in Watsonville, CA. The NPI Number for South County Mental Health is 1801930920 and holds a License No. (California).

The current practice location address for South County Mental Health is 1430 Freedom Blvd, Watsonville, CA and can be reached out via phone at 831-763-8200 and via fax at 831-454-4663.

Location: 1430 Freedom Blvd, Watsonville, CA, 95060-1976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801930920
Provider Name
South County Mental Health
Credential
Provider Entity Type
Organization
Address
1430 Freedom Blvd, Watsonville, CA, 95060-1976
Phone Number
831-763-8200
Fax Number
831-454-4663
Provider Enumeration Date
02/20/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1659315430 01 CA LEGAL ENTITY NPI#
ZZZ91891Z 01 CA COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
4475 05 CA
FHC70044F 01 CA SANTA CRUZ COUNTY MEDI-CAL GROUP NUNMBER
institution
Provider Business Practice Location Address Details
Address
1430 Freedom Blvd
City
Watsonville
State
California
Zip
95076-2780
Phone Number
831-763-8200
Fax Number
831-454-4663
person
Provider Business Mailing Address Details
Address
1430 Freedom Blvd
City
Watsonville
State
California
Zip
95076-2780
Phone Number
831-763-8200
Fax Number
831-454-4663
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
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 adults.
person
Provider's Taxonomy Details 2
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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