Healthcare Provider Details
I. General information
NPI: 1457553174
Provider Name (Legal Business Name): COMMUNITY ACTION COMMISSION OF SANTA BARBARA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/04/2007
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 W CHESTNUT AVE
LOMPOC CA
93436-5913
US
IV. Provider business mailing address
5638 HOLLISTER AVE STE 230
GOLETA CA
93117-3474
US
V. Phone/Fax
- Phone: 805-740-4555
- Fax:
- Phone: 805-964-8857
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
NUVIA
ALMANZA
Title or Position: MENTAL HEALTH PRACTITIONER
Credential: AMFT
Phone: 805-964-8857