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Organization

COUNTY OF SANTA CRUZ

Active
Parent organization
COUNTY OF SANTA CRUZ
Other names
Health Services Agency-Mental Health Division
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF SANTA CRUZ
Authorized official
MIMI HALL MPH (INTERIM DIRECTOR)
(831) 454-7519
Entity
Organization

Contact information

Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659315430
LEGAL ENTITY NPI#
CA
05
44BA
CA
Enumeration date
07/06/2007
Last updated
09/26/2018
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