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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
1324500000XSubstance Abuse Rehabilitation Facility440008ANCA

General Provider Information

NPI Number : 1538385562
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENCOMPASS COMMUNITY SERVICES
Provider Business Mailing Address
First Line : 380 ENCINAL ST STE 200
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-2178
Country : US
Telephone Number : 831-469-1700
Fax Number : 831-425-1905
Provider Business Practice Location Address
First Line : 125 RIGG ST AND 121 WEEKS AVE
Second Line : COTTAGE A AND SUITE A
City : SANTA CRUZ
State : CA
Zip : 95060-4203
Country : US
Telephone Number : 831-226-3728
Fax Number : 831-423-6657
Authorized Official
Title or Position : CEO
Name : MONICA MARTINEZ
Credential :
Telephone Number : 831-469-1700
Provider Enumeration Date : 04/18/2007
Last Update Date : 12/30/2022

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Directions to “ENCOMPASS COMMUNITY SERVICES ” Practice Location

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