is a Addiction (substance Use Disorder) in Santa Cruz, California. practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for is 1104083062. The last update date is .
's current location address is 200 7th Ave Ste 150, Santa Cruz, California. You can contact this provider via phone number 8314621060. The mailing address for is 200 7th Ave Ste 150, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 200 7th Ave Ste 150, Santa Cruz, California |
| Phone Number | 8314621060 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104083062 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 200 7th Ave Ste 150 |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950624669 |
| Phone Number | 8314621060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | G0412282026 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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