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SANTA CRUZ COMMUNITY COUNSELING CENTER NPI 1912123944


NPI Information

NPI: 1912123944
Provider Name: SANTA CRUZ COMMUNITY COUNSELING CENTER
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
640 RODRIGUEZ ST
WATSONVILLE, CA
ZIP 95076
Phone: (831) 722-2471
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SANTA CRUZ COMMUNITY COUNSELING CENTER is a substance abuse rehabilitation facility in Watsonville, 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. SANTA CRUZ COMMUNITY COUNSELING CENTER NPI is 1912123944. The provider is registered as an organization entity type.

The provider's business location address is:

640 RODRIGUEZ ST
WATSONVILLE, CA
ZIP 95076-212
Phone: (831) 722-2471

The provider's authorized official is Paul O'brien .
The authorized official title is Executive Director and has the following contact phone number (831) 469-1700.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.


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 Facility440001DNCALIFORNIAYes

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
1440001DNOTHERCALIFORNIALICENSE CERTIF DADP

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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