Organization
JANUS OF SANTA CRUZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER WILLIAMS (CHIEF EXECUTIVE OFFICER)
(831) 278-7906
Entity
Organization
Contact information
Practice address
200 7TH AVENUE, SUITE 150, SANTA CRUZ, CA 95062-4668
(831) 462-1060
(831) 462-4970
Mailing address
200 7TH AVENUE, SUITE 150, SANTA CRUZ, CA 95062-4668
(831) 462-1060
(831) 462-4970
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
440003BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4496
—
CA
Enumeration date
01/02/2007
Last updated
02/23/2022
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