Organization
FAMILY SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA FLORES (DIRECTOR)
(831) 423-9444
Entity
Organization
Contact information
Practice address
104 WALNUT AVE, SUITE 208, SANTA CRUZ, CA 95060-3900
(831) 423-9444
Mailing address
104 WALNUT AVE, SUITE 208, SANTA CRUZ, CA 95060-3900
(831) 423-9444
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
IMF69086
CA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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