Provider Demographics
NPI:1952589939
Name:FULL SPECTRUM RECOVERY
Entity Type:Organization
Organization Name:FULL SPECTRUM RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:GALEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARBARINO-WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:805-966-5100
Mailing Address - Street 1:601 E ARRELLAGA ST STE 102
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-4233
Mailing Address - Country:US
Mailing Address - Phone:805-966-5100
Mailing Address - Fax:805-966-4980
Practice Address - Street 1:601 E ARRELLAGA ST STE 102
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-4233
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:2008-02-01
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health