Provider Demographics
NPI:1043379894
Name:CARES SOUTH
Entity Type:Organization
Organization Name:CARES SOUTH
Other - Org Name:A.D.M.H.S.
Other - Org Type:Other Name
Authorized Official - Title/Position:CASEWORKER
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:CRABLE
Authorized Official - Suffix:
Authorized Official - Credentials:CAS
Authorized Official - Phone:1805-729-7482
Mailing Address - Street 1:PO BOX 61758
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93160-1758
Mailing Address - Country:US
Mailing Address - Phone:805-681-7014
Mailing Address - Fax:
Practice Address - Street 1:1717 SAN MARCOS PASS RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-9713
Practice Address - Country:US
Practice Address - Phone:805-681-7014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACASO16286101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty