Organization
THE ACTION PROGRAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE MCINTOSH PH.D (OWNER)
(480) 288-1053
Entity
Organization
Contact information
Practice address
7373 E DOUBLETREE RANCH RD STE 135, SCOTTSDALE, AZ 85258-2036
(480) 228-1053
Mailing address
2915 E HARWELL RD, GILBERT, AZ 85234-1453
(480) 228-1053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
08/03/2021
Last updated
05/17/2024
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