Organization
THE TIDES SANTA BARBARA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DALTON GERLACH (MANAGING MEMBER)
(805) 636-6335
Entity
Organization
Contact information
Practice address
5277 AUSTIN RD, SANTA BARBARA, CA 93111-2905
(805) 636-6335
Mailing address
5277 AUSTIN RD, SANTA BARBARA, CA 93111-2905
(805) 636-6335
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
420035AP
CA
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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