Provider Demographics
NPI:1942483813
Name:LYONS HOUSE, MHA
Entity Type:Organization
Organization Name:LYONS HOUSE, MHA
Other - Org Name:MENTAL HEALTH ASSOCIATION IN SANTA BARBARA COUNTY
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:RHS
Authorized Official - Phone:805-898-0129
Mailing Address - Street 1:16 W MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2426
Mailing Address - Country:US
Mailing Address - Phone:805-898-0129
Mailing Address - Fax:805-682-0906
Practice Address - Street 1:102 HIXON RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108-2617
Practice Address - Country:US
Practice Address - Phone:805-898-0129
Practice Address - Fax:805-682-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness