Organization · Type 2 NPI

Providence Recovery Center, Inc.

Substance Abuse Rehabilitation Facility · Santa Cruz, CA

NPI number 1164511465 Active

Practice location

831 Paget Ave
Santa Cruz, CA 95062-4112

Call (831) 475-1326 Map

Fax (831) 475-7881

Mailing address

PO Box 701
Capitola, CA 95010-0701

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	440013AP (CA)

Substance Abuse Rehabilitation Facility: 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.

Other substance abuse rehabilitation facility providers in Santa Cruz

See all in Santa Cruz →

About NPI 1164511465

Providence Recovery Center, Inc.'s National Provider Identifier is 1164511465, issued on Oct 12, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Santa Cruz, CA. The record was last updated on May 18, 2010.