NPI Code Details Logo

NPI 1205625894

NPI 1205625894 : FAMILIES IN TRANSITION OF SANTA CRUZ COUNTY : WATSONVILLE, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1205625894
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FAMILIES IN TRANSITION OF SANTA CRUZ COUNTY 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/01/2025
-----------------------------------------------------
    Last Update Date     |    05/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    406 MAIN ST STE 326 
-----------------------------------------------------
    City                 |    WATSONVILLE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95076-4623
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-728-9791
-----------------------------------------------------
    Fax                  |    831-728-9793
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    406 MAIN ST STE 326 
-----------------------------------------------------
    City                 |    WATSONVILLE
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95076-4623
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    831-728-9791
-----------------------------------------------------
    Fax                  |    831-728-9793
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXECUTIVE DIRECTOR
-----------------------------------------------------
    Name                 |     MELISA  VIERRA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    831-728-2548
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.