Organization
SB CTY DEPT OF BEHAVIORAL WELLNESS
Active
Other names
Cuyama Valley High School Telehealth
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY CASIANO LMFT (QCM COORDINATOR / DESIGNEE)
(805) 325-5905
Entity
Organization
Contact information
Practice address
7670 CUYAMA HWY, NEW CUYAMA, CA 93254-0401
(805) 555-5555
Mailing address
5385 HOLLISTER AVE BLDG 14, SANTA BARBARA, CA 93111-2389
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
08/23/2021
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