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Organization
FAMILY SERVICE AGENCY OF THE CENTRAL COAST
Active
Organization
FAMILY SERVICE AGENCY OF THE CENTRAL COAST
Active
Parent organization
FAMILY SERVICE AGENCY OF THE CENTRAL COAST
Other names
Survivors Healing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY SERVICE AGENCY OF THE CENTRAL COAST
Authorized official
DAVID A. BIANCHI (EXECUTIVE DIRECTOR)
(831) 423-9444
Entity
Organization
Contact information
Practice address
104 WALNUT AVE, SUITE 204, SANTA CRUZ, CA 95060-3929
(831) 423-9444
(831) 423-1532
Mailing address
104 WALNUT AVE, SUITE 204, SANTA CRUZ, CA 95060-3929
(831) 423-9444
(831) 423-1532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45554
COUNSELING
CA
Enumeration date
04/29/2014
Last updated
04/29/2014
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