| Casa De Familia Treatment Center | |
|
14 E Carrillo St Ste B Santa Barbara CA 93101-2725 | |
| (805) 623-5304 | |
| Not Available |
| Full Name | Casa De Familia Treatment Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14 E Carrillo St Ste B, Santa Barbara, California |
| Authorized Official Name and Position | Chelsea Laurel Jensen (MENTAL HEALTH PROGRAM DIRECTOR) |
| Authorized Official Contact | 8053473338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa De Familia Treatment Center 400 W Park Ave Santa Maria CA 93458-6116 Ph: (805) 346-8185 | Casa De Familia Treatment Center 14 E Carrillo St Ste B Santa Barbara CA 93101-2725 Ph: (805) 623-5304 |
| NPI Number | 1316430218 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 07/19/2023 |
| Certification Date | 07/19/2023 |
| Medicare PECOS PAC ID | 6204295603 |
|---|---|
| Medicare Enrollment ID | O20230703001507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316430218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Miranda Fierro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386883114 PECOS PAC ID: 5698013365 Enrollment ID: I20190205003216 |
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