Mentors Driving Change For Boys, Men And Dads

LBN: Mentors Driving Change For Boys, Men And Dads
Mentors Driving Change For Boys, Men And Dads is an health care organization with primary practice located at 15 Madison St , Watsonville CA 95076-4490. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Mentors Driving Change For Boys, Men And Dads can be contacted via phone (831) 588-7592, or through Kebebew, Deutron via phone (831) 588-7592.

Contact Information

Primary practice address
15 Madison St Watsonville CA 95076-4490
Phone: (831) 588-7592
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kebebew, Deutron
Phone: (831) 588-7592

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1033987631
LBN Legal business name Mentors Driving Change For Boys, Men And Dads
DBA Doing business as
Authorized official Kebebew, Deutron
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2023
Last updated Dec 13th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers