Organization
PUENTES NORTH
Active
Parent organization
COUNTY OF SANTA CRUZ
Other names
Health Services Agency-Mental Health Division
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SANTA CRUZ
Authorized official
RAMA KHALSA PH.D. (HEALTH SERVICES AGENCY DIRECTOR)
(831) 454-4000
Entity
Organization
Contact information
Practice address
115A CORAL ST, SANTA CRUZ, CA 95060-2104
(831) 454-5179
(831) 454-4663
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
(831) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659315430
LEGAL ENTITY NPI#
CA
05
—
44BX
—
CA
Enumeration date
02/20/2007
Last updated
03/04/2008
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