Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mentors Driving Change for Boys, Men and Dads

Organization Community Health Worker · NPI 1033987631

Mentors Driving Change for Boys, Men and Dads is a Community Health Worker in Watsonville, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

15 Madison St
Watsonville, CA 95076-4490
Phone: (831) 588-7592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1033987631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deutron Kebebew — Executive Director/Program Director · (831) 588-7592
Other names Mentors Driving Change For Boys, Men And Dads
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing addressPo Box 1585, Freedom, CA 95019-1585

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