Provider Demographics
NPI:1033311097
Name:COMMUNITY ACTION COMMISSION OF SANTA BARBARA COUNTY
Entity Type:Organization
Organization Name:COMMUNITY ACTION COMMISSION OF SANTA BARBARA COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-964-8857
Mailing Address - Street 1:5638 HOLLISTER AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-3474
Mailing Address - Country:US
Mailing Address - Phone:805-964-8857
Mailing Address - Fax:
Practice Address - Street 1:120 TOGNAZZINI AVE
Practice Address - Street 2:
Practice Address - City:GUADALUPE
Practice Address - State:CA
Practice Address - Zip Code:93434-1526
Practice Address - Country:US
Practice Address - Phone:805-343-1670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health