VINE PEACE

ORANGE, CA
NPI1730618190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Aii16230820)
Enumeration Date2017-06-08
Last Update Date2022-03-28
Business Address
VINE PEACE
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500
Mailing Address
VINE PEACE
265 S ANITA DR
ORANGE, CA 92868-3355
Phone number: 949-749-2500