Organization
DIVINE TREATMENT CENTERS
Active
Other names
Quality Therapy OC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR ANTONIO VILLA LCSW (PRESIDENT)
(714) 589-9228
Entity
Organization
Contact information
Practice address
400 E LA HABRA BLVD, LA HABRA, CA 90631-5525
(562) 217-4410
(562) 393-4442
Mailing address
400 E LA HABRA BLVD, LA HABRA, CA 90631-5525
(562) 217-4410
(562) 393-4442
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
03/30/2017
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