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General NPI Number Information
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NPI Number | 1902967003
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Entity Type | Organization
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Legal Business Name | ALCOHOL DRUG AND MENTAL HEALTH SERVICES, SANTA BARBARA COUNTY
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 315 CAMINO DEL REMEDIO
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1332
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Country | US
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Telephone | 805-631-5244
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Fax | 805-681-4382
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Provider Business Mailing Address
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Address Line | 315 CAMINO DEL REMEDIO
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City | SANTA BARBARA
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State | CA
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Zip | 93110-1332
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Country | US
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Telephone | 805-631-5244
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Fax | 805-681-4382
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JAMES L. BRODERICK
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Credential | PH.D.
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Telephone | 805-681-5220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | PSY15701
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License Number State | CA
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