| Botaitis Therapy Group Corporation | |
|
817 Garden St Ste 200 Santa Barbara CA 93101-7473 | |
| (805) 636-9890 | |
| Not Available |
| Full Name | Botaitis Therapy Group Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 817 Garden St Ste 200, Santa Barbara, California |
| Authorized Official Name and Position | Nicole A Botaitis (PRESIDENT & CEO) |
| Authorized Official Contact | 8056369890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Botaitis Therapy Group Corporation 817 Garden St Ste 200 Santa Barbara CA 93101-7473 Ph: (805) 636-9890 | Botaitis Therapy Group Corporation 817 Garden St Ste 200 Santa Barbara CA 93101-7473 Ph: (805) 636-9890 |
| NPI Number | 1841058534 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841058534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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