Organization
EMQ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA M SALINAS (H.R.)
(408) 628-5504
Entity
Organization
Contact information
Practice address
470 ASSEMBLY AVE, SANTA CRUZ, CA 95062-3939
(559) 892-5674
Mailing address
470 ASSEMBLY AVE., SANTA CRUZ, CA 95062
(559) 892-5674
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
ATTACHED
CA
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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