Healthcare Provider Details

I. General information

NPI: 1831360338
Provider Name (Legal Business Name): ASSESSMENT CENTER PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2008
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4861 FRANCES ST
SANTA BARBARA CA
93111-2821
US

IV. Provider business mailing address

4861 FRANCES ST
SANTA BARBARA CA
93111-2821
US

V. Phone/Fax

Practice location:
  • Phone: 805-964-0033
  • Fax:
Mailing address:
  • Phone: 805-964-0033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MISS VERONICA ARRES
Title or Position: PROGRAM COORDINATOR
Credential:
Phone: 805-964-0033