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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