Healthcare Provider Details

I. General information

NPI: 1437272184
Provider Name (Legal Business Name): FAMILIES TOGETHER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9057 SOQUEL DRIVE BUILDING C, SUITE A
APTOS CA
95003
US

IV. Provider business mailing address

9057 SOQUEL DRIVE BUILDING C, SUITE A
APTOS CA
95003
US

V. Phone/Fax

Practice location:
  • Phone: 831-662-1303
  • Fax: 831-662-1317
Mailing address:
  • Phone: 831-662-1303
  • Fax: 831-662-1317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MONICA MARTINEZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 831-469-1700