SCCCC
NPI 1659629863
Substance Abuse Rehabilitation Facility in Santa Cruz, CA

Q: What is Scccc's NPI number?

The NPI number for Scccc is 1659629863. It was assigned to this organization in the NPPES registry on August 17, 2012.

Q: What is Scccc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Scccc was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 17, 2012

125 RIGG ST, SANTA CRUZ, CA 95060(831) 423-3890(831) 423-6657 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Scccc NPPES

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

SCCCC (NPI 1659629863) is a healthcare organization registered as a substance abuse rehabilitation facility in Santa Cruz, California and active in the NPI registry since August 2012. The organization lists Carolyn Coleman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1659629863

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameSCCCC

Location Address125 RIGG STSanta Cruz, CA 95060-4203

Mailing Address125 Rigg StSanta Cruz, CA 95060-4203 · (831) 423-3890 · Fax (831) 423-6657

Phone(831) 423-3890

Fax(831) 423-6657

Organization SubpartNo

Authorized OfficialCarolyn ColemanExecutive Director · (831) 469-1700

Enumeration DateAugust 17, 2012

✔ NPI 1659629863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in CA · S0411260827

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

125 RIGG ST, Santa Cruz, CA 95060

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA J ROGERS

Case Manager/Care Coordinator