Healthcare Provider Details

I. General information

NPI: 1770610594
Provider Name (Legal Business Name): COUNCIL ON ALCOHOLISM AND DRUG ABUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 GARDEN ST
SANTA BARBARA CA
93101-1459
US

IV. Provider business mailing address

PO BOX 28
SANTA BARBARA CA
93102-0028
US

V. Phone/Fax

Practice location:
  • Phone: 805-730-7575
  • Fax: 805-730-7503
Mailing address:
  • Phone: 805-730-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number420022AN
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number420022AN
License Number StateCA

VIII. Authorized Official

Name: CAROL CELIC
Title or Position: CONTRACTS AND GRANT MANAGER
Credential:
Phone: 805-722-1316