PROVIDENCE RECOVERY CENTER INC. NPI 1164511465

NPI Information

PROVIDENCE RECOVERY CENTER, INC. is a substance abuse rehabilitation facility in Santa Cruz, CA. The provider is 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. PROVIDENCE RECOVERY CENTER, INC. NPI is 1164511465. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Recovery Center.

The provider's business location address is:

831 PAGET AVE
SANTA CRUZ, CA
ZIP 95062-112
Phone: (831) 475-1326
Fax: (831) 475-7881

The provider's authorized official is Claudia Jane Porter .
The authorized official title is Executive Director and has the following contact phone number (831) 475-1326.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 5/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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