# ALOCOHOL DRUG MENTAL HEALTH SERVICES OF SANTA BARBRA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407999402
- **Authorized official:** MR. FERNANDO CARLOS DOMINGUEZ JR. LPT (PYCHIATRIC TECHNICIAN)
- **Authorized official phone:** (805) 692-4874

## Contact information

- **Practice address:** 4500 HOLLISTER AVE, SANTA BARBARA, CA 93110-1710
- **Practice address phone:** (805) 692-4874
- **Mailing address:** 4500 HOLLISTER AVE, SANTA BARBARA, CA 93110-1399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | PT26056 | CA | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2007