# REALIZE BEHAVIORAL HEALTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639856305
- **Authorized official:** BRYAN ADAM VASQUEZ CATC-III (PRESIDENT)
- **Authorized official phone:** (714) 800-3199

## Contact information

- **Practice address:** 4540 CAMPUS DR \# 129, NEWPORT BEACH, CA 92660-1815
- **Practice address phone:** (714) 800-3199
- **Practice address fax:** (949) 209-1860
- **Mailing address:** 4540 CAMPUS DR \# 129, NEWPORT BEACH, CA 92660-1815
- **Mailing address phone:** (714) 800-3199
- **Mailing address fax:** (949) 209-1860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/03/2023
- **Last updated:** 07/03/2023