Organization
A QUARTER BLUE
Active
Other names
AQB Trauma Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA AILEEN WADE MA (EXECUTIVE DIRECTOR)
(714) 932-0845
Entity
Organization
Contact information
Practice address
172 N TUSTIN ST STE 308, ORANGE, CA 92867-7780
(714) 932-0845
(657) 366-5177
Mailing address
172 N TUSTIN ST STE 308, ORANGE, CA 92867-7780
(714) 932-0845
(657) 366-5177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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