Healthcare Provider Details

I. General information

NPI: 1275711244
Provider Name (Legal Business Name): SANTA BARBARA COUNTY ADMHS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 02/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4270 SIRIUS AVE
LOMPOC CA
93436-1041
US

IV. Provider business mailing address

4270 SIRIUS AVE
LOMPOC CA
93436-1041
US

V. Phone/Fax

Practice location:
  • Phone: 805-688-6550
  • Fax: 805-686-4496
Mailing address:
  • Phone: 805-688-6550
  • Fax: 805-686-4496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIANNE GARRITY
Title or Position: SUPERVISOR
Credential:
Phone: 805-681-5220