Provider Demographics
NPI:1871350686
Name:COMMUNITY ACTION BOARD OF SANTA CRUZ COUNTY
Entity type:Organization
Organization Name:COMMUNITY ACTION BOARD OF SANTA CRUZ COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM HPIS ADMIN DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:831-763-2147
Mailing Address - Street 1:406 MAIN ST STE 221
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-4639
Mailing Address - Country:US
Mailing Address - Phone:831-763-2147
Mailing Address - Fax:
Practice Address - Street 1:406 MAIN ST STE 221
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-4639
Practice Address - Country:US
Practice Address - Phone:831-763-2147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management