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NPI Code Detail

MEDICARE: ENCOMPASS COMMUNITY SERVICES

MEDICARE: ENCOMPASS COMMUNITY SERVICES
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1306062344
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENCOMPASS COMMUNITY SERVICES
Provider Business Mailing Address
First Line : 271 WATER ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4009
Country : US
Telephone Number : 831-425-1371
Fax Number : 831-425-1443
Provider Business Practice Location Address
First Line : 271 WATER ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4009
Country : US
Telephone Number : 831-425-1371
Fax Number : 831-425-1443
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : CAROLYN COLEMAN
Credential :
Telephone Number : 831-469-1700
Provider Enumeration Date : 04/18/2007
Last Update Date : 10/01/2013

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Directions to “ENCOMPASS COMMUNITY SERVICES ” Practice Location

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