| NPI | 1376273805 |
|---|---|
| Doing Business As | MIND THRIVE THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA EUGENE MARQUEZ COO 714-579-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-08-31 |