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Organization

FAMILY SERVICE AGENCY OF SANTA BARBARA COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA BRABO (EXECUTIVE DIRECTOR)
(805) 965-1001
Entity
Organization

Contact information

Practice address
123 W GUTIERREZ ST, SANTA BARBARA, CA 93101
(805) 965-1001
Mailing address
123 W GUTIERREZ ST, SANTA BARBARA, CA 93101-3424

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0032670
STATE TAX IDENTIFICATION
CA
01
21301
MEDICAL REPORTING UNIT
CA
01
21302
MEDICAL REPORTING UNIT
CA
01
21303
MEDICAL REPORTING UNIT
CA
01
21304
MEDICAL REPORTING UNIT
CA
01
21305
MEDICAL REPORTING UNIT
CA
01
21306
MEDICAL REPORTING UNIT
CA
Enumeration date
07/22/2006
Last updated
07/30/2018
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