Provider Demographics
NPI:1073045589
Name:ACTION FAMILY COUNSELING - SCV INC
Entity type:Organization
Organization Name:ACTION FAMILY COUNSELING - SCV INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS DEVELOPEMENT
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUASHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-705-5914
Mailing Address - Street 1:26893 BOUQUET CANYON RD # C-134
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-3500
Mailing Address - Country:US
Mailing Address - Phone:800-367-8336
Mailing Address - Fax:661-297-9701
Practice Address - Street 1:22722 SOLEDAD CANYON RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-2629
Practice Address - Country:US
Practice Address - Phone:800-367-8336
Practice Address - Fax:661-297-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0801X
CA190315FP261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)