Healthcare Provider Details

I. General information

NPI: 1114555463
Provider Name (Legal Business Name): PROJECT HEAL OF SANTA BARBARA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 03/31/2020
Certification Date: 03/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 PASEO NUEVO FL 2
SANTA BARBARA CA
93101-3382
US

IV. Provider business mailing address

351 PASEO NUEVO FL 2
SANTA BARBARA CA
93101-3382
US

V. Phone/Fax

Practice location:
  • Phone: 805-280-3168
  • Fax:
Mailing address:
  • Phone: 805-280-3168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS MARIE D CORBIN
Title or Position: CEO/EXECUTIVE DIRECTOR
Credential: RN
Phone: 805-280-3168