Individual
SHIRLEY ROBERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CATC111
Contact information
Practice address
125 W ISLAY ST, SANTA BARBARA, CA 93101-2830
(805) 448-4471
Mailing address
125 W ISLAY ST, SANTA BARBARA, CA 93101-2830
(805) 448-4471
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
133003111
CA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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