Organization
ENCOMPASS COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NORMAN (HOUSE MANAGER)
(218) 393-3845
Entity
Organization
Contact information
Practice address
716 OCEAN ST, SANTA CRUZ, CA 95060-4032
(831) 706-6560
(831) 706-6566
Mailing address
121 GROVE ST APT 3, BOULDER CREEK, CA 95006-9142
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
GEMMA
CA
01
—
101YA0400X
GEMMA
CA
Enumeration date
10/20/2016
Last updated
10/20/2016
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