INDIVIDUAL

GARDEN GROVE, CA
NPI1881019123
Entity TypeOrganization
Authorized ContactMABEL VASQUEZ
Inte RN
626-428-6916
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2014-02-24
Last Update Date2014-02-24
Business Address
INDIVIDUAL
12966 EUCLID ST SUITE 280
GARDEN GROVE, CA 92840-5200
Phone number: 714-823-4770
Mailing Address
INDIVIDUAL
12966 EUCLID ST SUITE 280
GARDEN GROVE, CA 92840-5200
Phone number: 714-823-4770
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