Provider Demographics
NPI:1093023996
Name:SIDE-BY-SIDE
Entity Type:Organization
Organization Name:SIDE-BY-SIDE
Other - Org Name:CHILD AND FAMILY DEVELOPMENT PROGRAMS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF C.F.D.P.
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-724-3885
Mailing Address - Street 1:225 WESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-4168
Mailing Address - Country:US
Mailing Address - Phone:831-724-3885
Mailing Address - Fax:
Practice Address - Street 1:225 WESTRIDGE DR
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-4168
Practice Address - Country:US
Practice Address - Phone:831-724-3885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANTA CRUZ COMMUNITY COUNSELONG CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency