Organization
JANUS OF SANTA CRUZ
Active
Other names
Community Clinic South
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER WILLIAMS (CHIEF EXECUTIVE OFFICER)
(831) 278-7906
Entity
Organization
Contact information
Practice address
284 PENNSYLVANIA DR STE 1&2, WATSONVILLE, CA 95076-3768
(831) 319-4200
(831) 319-4204
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
251S00000X
Community/Behavioral Health Agency
44-06
CA
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
4405
CA
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44AB
—
CA
05
—
44AC
—
CA
Enumeration date
12/02/2013
Last updated
02/23/2022
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