Organization · NPI-2

A Quarter Blue

Counselor, Mental Health · Orange, CA

NPI number1174410872
StatusActive
Last updated in NPPESJun 23, 2025

Details

NPI
1174410872
Entity type
Organization (NPI-2)
Legal business name
A Quarter Blue
Organization subpart
No
Enumeration date
Jun 23, 2025
Certification date
Jun 23, 2025
Last updated
Jun 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Other names

  • Aqb Trauma Recovery Center (Other Name)

Practice location

172 N Tustin St Ste 308
Orange, CA 92867-7780

Phone 714-932-0845 · Fax 657-366-5177

Mailing address

172 N Tustin St Ste 308
Orange, CA 92867-7780

Phone 714-932-0845 · Fax 657-366-5177

Authorized official

Martha Aileen Wade
Executive Director
7149320845

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