Organization
BONNY DOON UNION ELEMENTARY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HEFFNER (SUPERINTENDENT-PRINCIPAL)
(831) 427-2300
Entity
Organization
Contact information
Practice address
1492 PINE FLAT RD, SANTA CRUZ, CA 95060-9711
(831) 427-2300
Mailing address
1492 PINE FLAT RD, SANTA CRUZ, CA 95060-9711
(831) 427-2300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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