Organization · Type 2 NPI

Fee-For-Service-Mixed Specialty Group

Adult Mental Health Clinic/Center · Santa Cruz, CA

NPI number 1366640831 Active

Practice location

1400 Emeline Ave
Santa Cruz, CA 95060-1976

Fax (831) 454-4663

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

200 other providers at this address

Other adult mental health clinic/center providers in Santa Cruz

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NPI record

NPI: 1366640831
Entity type: Organization (Type 2)
Issued: Jul 6, 2007
Last updated: Mar 4, 2008
Status: Active
Subpart: Yes of County of Santa Cruz

Other names

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Health Services Agency-Mental Health Division · doing business as

Authorized official

Rama Khalsa, PhD
Health Services Agency Director
(831) 454-4000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366640831

Fee-For-Service-Mixed Specialty Group's National Provider Identifier is 1366640831, issued on Jul 6, 2007. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Santa Cruz, CA. The record was last updated on Mar 4, 2008.