Provider Demographics
NPI:1790533958
Name:COURT APPOINTED SPECIAL ADVOCATES (CASA) OF SANTA CRUZ COUNTY
Entity type:Organization
Organization Name:COURT APPOINTED SPECIAL ADVOCATES (CASA) OF SANTA CRUZ COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEVELOPMENT DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGI
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-761-2956
Mailing Address - Street 1:813 FREEDOM BLVD
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-3803
Mailing Address - Country:US
Mailing Address - Phone:831-761-2956
Mailing Address - Fax:
Practice Address - Street 1:813 FREEDOM BLVD
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3803
Practice Address - Country:US
Practice Address - Phone:831-761-2956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable