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JANUS OF SANTA CRUZ NPI 1194971473


NPI Information

NPI: 1194971473
Provider Name: JANUS OF SANTA CRUZ

Other Name: MONDANARO-BASKIN CENTER FOR WOMEN AND CHILDREN

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
516 CHESTNUT ST.
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 423-9015
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JANUS OF SANTA CRUZ 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. JANUS OF SANTA CRUZ NPI is 1194971473. The provider is registered as an organization entity type.
The provider Other Name Is Mondanaro-baskin Center For Women And Children.

The provider's business location address is:

516 CHESTNUT ST.
SANTA CRUZ, CA
ZIP 95060-669
Phone: (831) 423-9015
Fax: (831) 423-9098

The provider's authorized official is Amber Williams .
The authorized official title is Chief Executive Officer and has the following contact phone number (831) 278-7906.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 2/23/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility440003DNCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14496MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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