Sara Rose Moon in Santa Cruz - Addiction (substance Use Disorder)

Sara Rose Moon - NPI 1679737167

Sara Rose Moon is a Addiction (substance Use Disorder) in Santa Cruz, California. Sara Rose Moon practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sara Rose Moon is 1679737167. The last update date is 2008-07-14.

Sara Rose Moon's current location address is 707 Fair Ave, Santa Cruz, California. You can contact this provider via phone number 8314271007 and fax number 8314540545. The mailing address for Sara Rose Moon is 707 Fair Ave, Santa Cruz, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Sara Rose Moon
Address 707 Fair Ave, Santa Cruz, California
Phone Number 8314271007
Fax Number 8314540545
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1679737167
Provider Enumeration Date 2008-07-14
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address 707 Fair Ave
City Santa Cruz
State California (CA)
Post Code 950605828
Phone Number 8314271007
Fax Number 8314540545

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Sara Rose Moon

What is the unique 10-digit identification code assigned to Sara Rose Moon by the Centers for Medicare & Medicaid Services?

The Sara Rose Moon has been issued the NPI (National Provider Identifier) 1679737167, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Sara Rose Moon?

The Sara Rose Moon is physically situated at 707 Fair Ave, in the city of Santa Cruz, state of CA, with the postal code 950605828.

What is Sara Rose Moon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sara Rose Moon's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1679737167 to Sara Rose Moon?

The Centers for Medicare & Medicaid Services originally issued the 1679737167 to Sara Rose Moon on 2008-07-14.

When was the information related to Sara Rose Moon most recently updated or refreshed?

The details pertaining to the Sara Rose Moon, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-14.

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