Organization
ENCOMPASS
Active
Organization
ENCOMPASS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J'ANN RAINES (PROGRAM COORDINATOR)
(831) 423-2003
Entity
Organization
Contact information
Practice address
716 OCEAN ST STE 200, SANTA CRUZ, CA 95060-4034
(831) 423-2003
(831) 454-0490
Mailing address
716 OCEAN ST STE 200, SANTA CRUZ, CA 95060-4034
(831) 423-2003
(831) 454-0490
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/09/2016
Last updated
10/09/2016
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