Organization
FAMILY SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BIANCA MPH (DIRECTOR)
(831) 423-9444
Entity
Organization
Contact information
Practice address
527 WINDHAM ST, SANTA CRUZ, CA 95062-2461
(831) 426-5914
Mailing address
527 WINDHAM ST, SANTA CRUZ, CA 95062-2461
(831) 426-5914
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
18800
CA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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