Organization · NPI-2

Divine Treatment Centers

Clinic/Center, Rehabilitation, Substance Use Disorder · La Habra, CA

NPI number1396289401

StatusActive

Last updated in NPPESMar 30, 2017

Details

NPI: 1396289401
Entity type: Organization (NPI-2)
Legal business name: Divine Treatment Centers
Organization subpart: No
Enumeration date: Dec 8, 2016
Last updated: Mar 30, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–	Yes
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–

Other names

Quality Therapy Oc (Doing Business As)

Practice location

400 E La Habra Blvd
La Habra, CA 90631-5525

Phone 562-217-4410 · Fax 562-393-4442

Mailing address

400 E La Habra Blvd
La Habra, CA 90631-5525

Phone 562-217-4410 · Fax 562-393-4442

Authorized official

Edgar Antonio Villa
President
7145899228

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