Provider Demographics
NPI:1902123631
Name:MENTAL HEALTH CLIENT ACTION NETWORK
Entity Type:Organization
Organization Name:MENTAL HEALTH CLIENT ACTION NETWORK
Other - Org Name:MHCAN
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-469-0462
Mailing Address - Street 1:1051 CAYUGA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2421
Mailing Address - Country:US
Mailing Address - Phone:831-469-0462
Mailing Address - Fax:831-469-9160
Practice Address - Street 1:1051 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2421
Practice Address - Country:US
Practice Address - Phone:831-469-0462
Practice Address - Fax:831-469-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ92069ZOtherSANTA CRUZ COUNTY MENTAL HEALTH