Basic Information
| Provider Information | |||||||||
| NPI: | 1154519858 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SANTA BARBARA COUNTY ADMHS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 N SAN ANTONIO RD | ||||||||
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| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931101316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056815220 | ||||||||
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| Practice Location | |||||||||
| Address1: | 646 N H ST | ||||||||
| Address2: | |||||||||
| City: | LOMPOC | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934364519 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8058651943 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2007 | ||||||||
| LastUpdateDate: | 10/09/2007 | ||||||||
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| AuthorizedOfficialLastName: | GARRITY | ||||||||
| AuthorizedOfficialFirstName: | MARIANNE | ||||||||
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| AuthorizedOfficialTitleorPosition: | DEPUTY DIRECTOR OF ADMINISTRATION | ||||||||
| AuthorizedOfficialTelephone: | 8056815220 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0855X | LH00009296 | WA | N | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | 261QM0801X | LH00009296 | WA | Y | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No ID Information.