| NPI | 1619421252 |
|---|---|
| Doing Business As | SANTA MARIA TAY FSP PROGRAM |
| Entity Type | Organization |
| Authorized Contact | TAMMY LYNN CASIANO Qcm Coordinator 805-325-5905 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2021-01-07 |