Providence Recovery Center

LBN: Providence Recovery Center, Inc.
Providence Recovery Center is an health care organization with primary practice located at 831 Paget Ave , Santa Cruz CA 95062-4112. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Providence Recovery Center, Inc. can be contacted via phone (831) 475-1326, or through Porter, Claudia Jane via phone (831) 475-1326.

Contact Information

Primary practice address
831 Paget Ave Santa Cruz CA 95062-4112
Phone: (831) 475-1326
Fax: (831) 475-7881
Website:
Map and Directions
Authorized official contact:
Name: Porter, Claudia Jane CAC
Phone: (831) 475-1326

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 440013AP California

Profile Details

NPI number 1164511465
LBN Legal business name Providence Recovery Center, Inc.
DBA Doing business as Providence Recovery Center
Authorized official Porter, Claudia Jane CAC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated May 18th, 2010 - about 16 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.

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