Provider Demographics
NPI:1699817254
Name:FULL SPECTRUM RECOVERY
Entity Type:Organization
Organization Name:FULL SPECTRUM RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNA GENERA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:GENERA
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:805-965-0991
Mailing Address - Street 1:601 E ARRELLAGA ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-2274
Mailing Address - Country:US
Mailing Address - Phone:805-966-5100
Mailing Address - Fax:805-966-4980
Practice Address - Street 1:601 E ARRELLAGA ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-2274
Practice Address - Country:US
Practice Address - Phone:805-966-5100
Practice Address - Fax:805-966-4980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 22205106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty