Family Service Agency of the Central Coast

Organization Active NPI Marriage & Family Therapist · Santa Cruz, CA

NPI 1013039320 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1013039320
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
Legal business name
FAMILY SERVICE AGENCY OF THE CENTRAL COAST
Practice address
104 Walnut Ave
Ste 208
Santa Cruz, CA 95060-3900
Phone
(831) 423-9444
Fax
(831) 423-1532
NPI assigned
Apr 6, 2007
Organization subpart
No

Authorized official

Name
Mr. David A Bianchi
Title
Executive Director
Phone
(831) 423-9444

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Family Service CTRL Coast (9 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
106H00000X Yes

Addresses

Primary practice location

104 Walnut Ave
Ste 208
Santa Cruz, CA 95060-3900

Mailing address

104 Walnut Ave
Ste 208
Santa Cruz, CA 95060-3900
Phone (831) 423-9444

Other identifiers

IdentifierTypeStateIssuer
44A2OtherCAMEDICAL

Other providers in Santa Cruz, CA

All providers in Santa Cruz, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.