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Organization
SIDE-BY-SIDE
Active
Organization
SIDE-BY-SIDE
Active
Parent organization
ENCOMPASS COMMUNITY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENCOMPASS COMMUNITY SERVICES
Authorized official
MONICA MARTINEZ (PROGRAM MANAGER)
(831) 469-1700
Entity
Organization
Contact information
Practice address
225 WESTRIDGE DR, WATSONVILLE, CA 95076-4168
(831) 724-3885
Mailing address
225 WESTRIDGE DR, WATSONVILLE, CA 95076-4168
(831) 724-3885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44CJ
—
CA
Enumeration date
04/09/2007
Last updated
02/25/2016
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