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500 West Foster Road Santa Maria CA 93455-3620 | |
| (805) 934-6380 | |
| (805) 934-6381 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 500 West Foster Road, Santa Maria, California |
| Authorized Official Name and Position | Tammy Lynn Casiano (QCM COORDINATOR/DESIGNEE) |
| Authorized Official Contact | 8053255905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
315 Camino Del Remedio Suite 257 Santa Barbara CA 93110-1332 Ph: (805) 681-5220 | 500 West Foster Road Santa Maria CA 93455-3620 Ph: (805) 934-6380 |
| NPI Number | 1972643542 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972643542 | NPI | - | NPPES |
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