Provider Demographics
NPI:1689717258
Name:GOOD SAMARITAN SHELTER
Entity Type:Organization
Organization Name:GOOD SAMARITAN SHELTER
Other - Org Name:GOOD SAMARITAN SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:CAROLYN
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-346-8185
Mailing Address - Street 1:245 INGER DR
Mailing Address - Street 2:STE 103B
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-8669
Mailing Address - Country:US
Mailing Address - Phone:805-346-8185
Mailing Address - Fax:
Practice Address - Street 1:245 INGER DR
Practice Address - Street 2:STE 103B
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-8669
Practice Address - Country:US
Practice Address - Phone:805-346-8185
Practice Address - Fax:805-346-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health