Organization Name: | FAMILY THERAPY INSTITUTE OF SANTA BARBARA |
NPI Number: | 1013274646 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DON R. MACMANNIS (CLINICAL DIRECTOR/PSYCHOLOGIST) |
Mailing Address: | 111 E Arrellaga St Santa Barbara |
State: | CA US |
Postal Code: | 931011903 |
Phone Number: | 8058822400 |
Fax Number: | 8058822422 |
NPI Enumeration Date: | 04/20/2012 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LR 9847 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |