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Organization
QUEER HEALING OASIS
Active
Organization
QUEER HEALING OASIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS ZAMORA-SANCHEZ LCSW (CEO/FOUNDER)
(818) 233-1079
Entity
Organization
Contact information
Practice address
110 N MACLAY AVE STE 107, SAN FERNANDO, CA 91340-2986
(818) 233-1079
(818) 698-6407
Mailing address
110 N MACLAY AVE STE 107, SAN FERNANDO, CA 91340-2986
(818) 233-1079
(818) 698-6407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831487834
—
CA
Enumeration date
09/19/2019
Last updated
09/19/2019
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