Organization
PHOENIX OF SANTA BARBARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN DAVIS HARDGRAVE (INTERN)
(805) 479-4373
Entity
Organization
Contact information
Practice address
107 E MICHELTORENA ST, SANTA BARBARA, CA 93101-1905
(805) 965-3434
Mailing address
107 E MICHELTORENA ST, SANTA BARBARA, CA 93101-1905
(805) 965-3434
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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