NPI 1093914483
Fee-For-Service LCSW
Practice location
- Address
- 1400 Emeline Ave, Santa Cruz, CA 95060-1976
- Phone
- (831) 454-4170
- Fax
- (831) 454-4663
Authorised official
- Name
- Rama Khalsa
- Title
- Health Services Agency Director
- Phone
- (831) 454-4000
Registered specialties
Adult Mental Health Clinic/Center
Primary
Registry record
- NPI
- 1093914483
- Entity type
- Organization
- NPI issued
- 16 Jul 2007
- Record last updated
- 4 Mar 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.