Organization
ACCREDITED COUNSELING & INTERVENTION SERVICES, INC.
Active
Organization
ACCREDITED COUNSELING & INTERVENTION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT JAMES HENRYWESTWOOD LAADC CA, CADC-II (SUD COUNSELOR, INTERVENTIONIST)
(408) 203-0964
Entity
Organization
Contact information
Practice address
1190 PARK AVE UNIT B, SAN JOSE, CA 95126-2913
(888) 427-8689
Mailing address
1190 PARK AVE UNIT B, SAN JOSE, CA 95126-2913
(888) 427-8689
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCI04531115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A07540315
CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS
CA
01
—
GI-071015
GATEWAY CORP INC.
CA
01
—
LCI04531115
CALIFORNIA CONSORTIUM OF ADDICTION PROGRAMS AND PROFESSIONALS
CA
Enumeration date
01/06/2016
Last updated
01/06/2016
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