Organization
PROVIDENCE RECOVERY CENTER, INC.
Active
Other names
Providence Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAUDIA JANE PORTER CAC (EXECUTIVE DIRECTOR)
(831) 475-1326
Entity
Organization
Contact information
Practice address
831 PAGET AVE, SANTA CRUZ, CA 95062-4112
(831) 475-1326
(831) 475-7881
Mailing address
PO BOX 701, CAPITOLA, CA 95010-0701
(831) 475-1326
(831) 475-7881
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
440013AP
CA
Other
Enumeration date
10/12/2006
Last updated
05/18/2010
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