Provider Demographics
NPI:1275718330
Name:COUNCIL OF ALCOHOLISM AND DRUG ABUSE
Entity Type:Organization
Organization Name:COUNCIL OF ALCOHOLISM AND DRUG ABUSE
Other - Org Name:CADA @ 402 FARNEL ROAD
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTTLIEB
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:805-963-1433
Mailing Address - Street 1:232 E CANON PERDIDO
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101
Mailing Address - Country:US
Mailing Address - Phone:805-963-1836
Mailing Address - Fax:
Practice Address - Street 1:526 E CHAPEL ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4520
Practice Address - Country:US
Practice Address - Phone:805-925-8860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE COUNCIL ON ALCOHOLISM AND DRUG ABUSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-08
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management