MEDICARE: COUNCIL ON ALCOHOLISM & DRUG ABUSE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1437284163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNCIL ON ALCOHOLISM & DRUG ABUSE

Provider Business Mailing Address
First Line	:	25 W ANAPAMU ST
Second Line	:	25 W. ANAPAMU ST.
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-5148
Country	:	US
Telephone Number	:	805-730-7575
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 W ANAPAMU ST
Second Line	:	25 W. ANAPAMU ST.
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-5148
Country	:	US
Telephone Number	:	805-730-7575
Fax Number	:

Authorized Official
Title or Position	:	TREATMENT COUNSELOR
Name	:	MIGUEL ANGEL PALAFOX
Credential	:
Telephone Number	:	805-730-7575

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	08/22/2020

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