Organization
ASSOCIATES IN COUNSELING & MEDIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WILLIAM GANTENBEIN CAADAC A3518587 (COUNSELOR)
(562) 498-0768
Entity
Organization
Contact information
Practice address
265 S ANITA DR STE 117, ORANGE, CA 92868-3341
(714) 978-1090
Mailing address
5585 E PACIFIC COAST HWY UNIT 166, LONG BEACH, CA 90804-9456
(562) 498-0768
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
CAADAC A3518587
CA
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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