Provider Demographics
NPI:1346772381
Name:ACTION FAMILY COUNSELING THE RANCH
Entity Type:Organization
Organization Name:ACTION FAMILY COUNSELING THE RANCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:
Authorized Official - Last Name:QUASHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-713-3006
Mailing Address - Street 1:30035 BOUQUET CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91390-5104
Mailing Address - Country:US
Mailing Address - Phone:800-367-8336
Mailing Address - Fax:661-297-9701
Practice Address - Street 1:26393 BOUQUET CANYON RD
Practice Address - Street 2:C-134
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350
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:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1976055483245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children