THE PHOENIX HOUSE OF SANTA BARBARA INC. NPI 1104264381

NPI Information

NPI: 1104264381
Provider Name: THE PHOENIX HOUSE OF SANTA BARBARA, INC.

Other Name: PHOENIX HOUSE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
107 E MICHELTORENA ST
SANTA BARBARA, CA
ZIP 93101
Phone: (805) 965-6787
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THE PHOENIX HOUSE OF SANTA BARBARA, INC. is a community based residential treatment facility mental illness in Santa Barbara, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. THE PHOENIX HOUSE OF SANTA BARBARA, INC. NPI is 1104264381. The provider is registered as an organization entity type.
The provider Other Name Is Phoenix House.

The provider's business location address is:

107 E MICHELTORENA ST
SANTA BARBARA, CA
ZIP 93101
Phone: (805) 965-6787
Fax: (805) 965-3797

The provider's authorized official is Ava Polan .
The authorized official title is Executive Director and has the following contact phone number (805) 965-3434.

The enumeration date for this NPI number is 6/10/2013 and was last updated on 5/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness			CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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