Provider Demographics
NPI:1295851806
Name:ALCOHOL DRUG AND MENTAL HEALTH SERVICES OF SANTA BARBARA
Entity Type:Organization
Organization Name:ALCOHOL DRUG AND MENTAL HEALTH SERVICES OF SANTA BARBARA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISION CHIEF CRISIS AND CUSTOMER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:805-689-8436
Mailing Address - Street 1:321 E VALERIO ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-8119
Mailing Address - Country:US
Mailing Address - Phone:303-819-6299
Mailing Address - Fax:805-681-5117
Practice Address - Street 1:321 E VALERIO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8119
Practice Address - Country:US
Practice Address - Phone:303-819-6299
Practice Address - Fax:805-681-5117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit