Organization · Type 2 NPI

Janus of Santa Cruz

Methadone Clinic · Santa Cruz, CA

NPI number 1730213794 Active

Practice location

1000A & 1010C Emeline Ave
Santa Cruz, CA 95060

Call (831) 425-0112 Map

Fax (831) 425-1847

Mailing address

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

Specialties and licenses

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

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

NPI record

NPI: 1730213794
Entity type: Organization (Type 2)
Issued: Mar 14, 2007
Last updated: Mar 8, 2022
Status: Active

Other names

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

Authorized official

Amber Williams
Chief Executive Officer
(831) 278-7906

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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 1730213794

Janus of Santa Cruz's National Provider Identifier is 1730213794, issued on Mar 14, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Santa Cruz, CA. The record was last updated on Mar 8, 2022.