# FAMILY SERVICE AGENCY OF THE CENTRAL COAST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013039320
- **Authorized official:** MR. DAVID A BIANCHI (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (831) 423-9444

## Contact information

- **Practice address:** 104 WALNUT AVE, STE 208, SANTA CRUZ, CA 95060-3900
- **Practice address phone:** (831) 423-9444
- **Practice address fax:** (831) 423-1532
- **Mailing address:** 104 WALNUT AVE, STE 208, SANTA CRUZ, CA 95060-3900
- **Mailing address phone:** (831) 423-9444
- **Mailing address fax:** (831) 423-1532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 08/22/2020
