| Ab 109 Sb | |
|
2034 De La Vina St Santa Barbara CA 93105-3814 | |
| (805) 884-6852 | |
| Not Available |
| Full Name | Ab 109 Sb |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2034 De La Vina St, Santa Barbara, California |
| Authorized Official Name and Position | Tammy Casiano (QCM COORDINATOR/DESIGNEE) |
| Authorized Official Contact | 8053255905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ab 109 Sb 315 Camino Del Remedio Suite 257 Santa Barbara CA 93110-1332 Ph: (805) 681-5220 | Ab 109 Sb 2034 De La Vina St Santa Barbara CA 93105-3814 Ph: (805) 884-6852 |
| NPI Number | 1386999258 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386999258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (California) | Primary |
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