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NPI Code Detail

MEDICARE: RIKKI RAP INC.

MEDICARE: RIKKI RAP INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1440012APOTHERCADEPARTMENT OF HEALTH CARE SERVICES

General Provider Information

NPI Number : 1245362979
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIKKI RAP INC.
Provider Business Mailing Address
First Line : 8030 SOQUEL AVE STE 103
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2096
Country : US
Telephone Number : 831-476-1747
Fax Number : 831-476-1125
Provider Business Practice Location Address
First Line : 8030 SOQUEL AVE STE 103
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2096
Country : US
Telephone Number : 831-476-1747
Fax Number : 831-476-1125
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : SARAH COOPER
Credential :
Telephone Number : 831-476-1747
Provider Enumeration Date : 03/09/2007
Last Update Date : 02/02/2016

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