MEDICARE: FREEDOM 4 YOUTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1144057118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEDOM 4 YOUTH

Provider Business Mailing Address
First Line	:	PO BOX 2096
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93120-2096
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	187 S PATTERSON AVE STE A
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2075
Country	:	US
Telephone Number	:	805-708-1292
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. BILLI JO STARR
Credential	:	PHD
Telephone Number	:	805-708-1292

Provider Enumeration Date	:	09/16/2024
Last Update Date	:	09/16/2024

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Directions to “FREEDOM 4 YOUTH ” Practice Location

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