# PACIFIC PRIDE FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902931892
- **Authorized official:** MR. DAVID SELBERG (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (805) 963-3636

## Contact information

- **Practice address:** 126 E HALEY ST, SUITE A-11, SANTA BARBARA, CA 93101-2342
- **Practice address phone:** (805) 963-3636
- **Practice address fax:** (805) 963-9086
- **Mailing address:** 126 E HALEY ST, SUITE A-11, SANTA BARBARA, CA 93101-2342
- **Mailing address phone:** (805) 963-3636
- **Mailing address fax:** (805) 963-9086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AYD000390 | MEDICAL ID NUMBER | CA |