MENTORS DRIVING CHANGE FOR BOYS, MEN AND DADS
NPI 1033987631
Community/Behavioral Health in Watsonville, CA

Q: What is Mentors Driving Change For Boys, Men And Dads's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since December 13, 2023

15 MADISON ST, WATSONVILLE, CA 95076(831) 588-7592 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mentors Driving Change For Boys, Men And Dads NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENTORS DRIVING CHANGE FOR BOYS, MEN AND DADS (NPI 1033987631) is a healthcare organization registered as a community/behavioral health in Watsonville, California and active in the NPI registry since December 2023. The organization lists Deutron Kebebew, Executive Director/program Director, as its authorized official.

NPPES Registry Identity

NPI1033987631

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameMENTORS DRIVING CHANGE FOR BOYS, MEN AND DADS

Location Address15 MADISON STWatsonville, CA 95076-4490

Mailing AddressPo Box 1585Freedom, CA 95019-1585 · (831) 588-7592

Phone(831) 588-7592

Organization SubpartNo

Authorized OfficialDeutron KebebewExecutive Director/program Director · (831) 588-7592

Enumeration DateDecember 13, 2023

NPPES CertifiedDecember 13, 2023

✔ NPI 1033987631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

15 MADISON ST, Watsonville, CA 95076

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Other Names 1

Former Legal Business NameMentors Driving Change For Boys, Men And Dads

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mentors Driving Change For Boys, Men And Dads's NPI number?

The NPI number for Mentors Driving Change For Boys, Men And Dads is 1033987631. It was assigned to this organization in the NPPES registry on December 13, 2023.

Where is Mentors Driving Change For Boys, Men And Dads located?

Mentors Driving Change For Boys, Men And Dads is located at 15 Madison St, Watsonville, CA 95076. The listed phone number is (831) 588-7592.

What is Mentors Driving Change For Boys, Men And Dads's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Mentors Driving Change For Boys, Men And Dads was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.