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Organization
FIGHTING BACK SANTA MARIA VALLEY
Active
Organization
FIGHTING BACK SANTA MARIA VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK EDWIN WEAVER MSW, MDR (EXECUTIVE DIRECTOR)
(805) 346-1774
Entity
Organization
Contact information
Practice address
201 S MILLER ST STE 209, SANTA MARIA, CA 93454-5249
(805) 720-6220
(805) 621-5859
Mailing address
PO BOX 184, SANTA MARIA, CA 93456-0184
(805) 346-1774
(805) 621-5859
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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