Provider Demographics
NPI:1952683245
Name:THE GARY CENTER
Entity Type:Organization
Organization Name:THE GARY CENTER
Other - Org Name:SUBSTANCE ABUSE COUNSELING SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, ACSW
Authorized Official - Phone:562-691-3263
Mailing Address - Street 1:341 S. HILLCREST STREET
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-5394
Mailing Address - Country:US
Mailing Address - Phone:562-691-3263
Mailing Address - Fax:562-690-5063
Practice Address - Street 1:1525 E. 17TH STREET
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8521
Practice Address - Country:US
Practice Address - Phone:714-542-0400
Practice Address - Fax:714-542-0404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty