Provider Demographics
NPI:1518022979
Name:INTERFACE ENVIRONMENTS, INC.
Entity Type:Organization
Organization Name:INTERFACE ENVIRONMENTS, INC.
Other - Org Name:WINWAYS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCM,CRC
Authorized Official - Phone:714-771-5276
Mailing Address - Street 1:7732 E SANTIAGO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-1829
Mailing Address - Country:US
Mailing Address - Phone:714-771-5276
Mailing Address - Fax:714-771-1452
Practice Address - Street 1:7732 E SANTIAGO CANYON RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-1829
Practice Address - Country:US
Practice Address - Phone:714-771-5276
Practice Address - Fax:714-771-1452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Not Answered320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities