Organization · Type 2 NPI

Janus of Santa Cruz

Methadone Clinic · Watsonville, CA

NPI number 1649601550 Active

Practice location

284 Pennsylvania Dr Ste 1&2
Watsonville, CA 95076-3768

Call (831) 319-4200 Map

Fax (831) 319-4204

Mailing address

200 7th Avenue, Suite 150
Santa Cruz, CA 95062-4668

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	44-06 (CA)
Community/Behavioral Health Agency	251S00000X	None listed
Methadone Clinic	261QM2800X	4405 (CA)
Methadone Clinic Primary	261QM2800X	None listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Another provider at this address

Gilbert David BaoAddiction (Substance Use Disorder) Counselor Watsonville, CA NPI 1982234720

NPI record

NPI: 1649601550
Entity type: Organization (Type 2)
Issued: Dec 2, 2013
Last updated: Feb 23, 2022
Status: Active

Other names

<unavail>
Community Clinic South · doing business as
Community Clinic South · doing business as

Authorized official

Amber Williams
Chief Executive Officer
(831) 278-7906

Verify this record

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 1649601550

Janus of Santa Cruz's National Provider Identifier is 1649601550, issued on Dec 2, 2013. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Watsonville, CA. The record was last updated on Feb 23, 2022.