Provider Demographics
NPI:1265591762
Name:SANTA BARBARA COUNTY MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:SANTA BARBARA COUNTY MENTAL HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER INTERN
Authorized Official - Prefix:MR
Authorized Official - First Name:EPIMAQUIO
Authorized Official - Middle Name:SALDIVAR
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:805-934-6385
Mailing Address - Street 1:500 W. FOSTER ROAD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455
Mailing Address - Country:US
Mailing Address - Phone:805-934-6385
Mailing Address - Fax:805-934-6539
Practice Address - Street 1:500 W. FOSTER ROAD
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455
Practice Address - Country:US
Practice Address - Phone:805-934-6385
Practice Address - Fax:805-934-6539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization