Provider Demographics
NPI:1255088860
Name:ACTION FAMILY COUNSELING - SCV INC
Entity type:Organization
Organization Name:ACTION FAMILY COUNSELING - SCV INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
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:661-753-7272
Mailing Address - Street 1:26893 BOUQUET CANYON RD # C-134
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:CA
Mailing Address - Zip Code:91350-3500
Mailing Address - Country:US
Mailing Address - Phone:800-367-8336
Mailing Address - Fax:
Practice Address - Street 1:44950 VALLEY CENTRAL WAY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-7209
Practice Address - Country:US
Practice Address - Phone:661-522-3460
Practice Address - Fax:661-522-3461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder