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Organization
ALOCOHOL DRUG MENTAL HEALTH SERVICES OF SANTA BARBRA
Active
Organization
ALOCOHOL DRUG MENTAL HEALTH SERVICES OF SANTA BARBRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO CARLOS DOMINGUEZ JR. LPT (PYCHIATRIC TECHNICIAN)
(805) 692-4874
Entity
Organization
Contact information
Practice address
4500 HOLLISTER AVE, SANTA BARBARA, CA 93110-1710
(805) 692-4874
Mailing address
4500 HOLLISTER AVE, SANTA BARBARA, CA 93110-1399
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PT26056
CA
Other
Enumeration date
02/15/2007
Last updated
08/22/2007
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