Provider Demographics
NPI:1689747065
Name:CHAYES, JOHN S
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:S
Last Name:CHAYES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1679
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93464-1679
Mailing Address - Country:US
Mailing Address - Phone:805-452-0577
Mailing Address - Fax:
Practice Address - Street 1:4861 FRANCES ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2821
Practice Address - Country:US
Practice Address - Phone:805-452-0577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness