Organization
JANUS OF SANTA CRUZ
Active
Other names
Community Clinic North
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER WILLIAMS (CHIEF EXECUTIVE OFFICER)
(831) 278-7906
Entity
Organization
Contact information
Practice address
1000A & 1010C EMELINE AVE, SANTA CRUZ, CA 95060
(831) 425-0112
(831) 425-1847
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
—
—
261QM2800X
Methadone Clinic
Primary
4405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44-05
DHCS
CA
05
—
44AB
—
CA
Enumeration date
03/14/2007
Last updated
03/08/2022
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