Provider Demographics
NPI:1508012824
Name:HARBOR AREA COUNSELING SERVICES, INC
Entity Type:Organization
Organization Name:HARBOR AREA COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARIO
Authorized Official - Middle Name:L
Authorized Official - Last Name:GHIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-831-0006
Mailing Address - Street 1:624 W 9TH ST
Mailing Address - Street 2:202
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731-3158
Mailing Address - Country:US
Mailing Address - Phone:310-831-0006
Mailing Address - Fax:310-831-0004
Practice Address - Street 1:624 W 9TH ST
Practice Address - Street 2:202
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-3158
Practice Address - Country:US
Practice Address - Phone:310-831-0006
Practice Address - Fax:310-831-0004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health