NPIMap

Organization Active NPI

Divine Treatment Centers

Doing business as Quality Therapy OC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • La Habra, CA
National Provider Identifier
1396289401
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
DIVINE TREATMENT CENTERS
Doing business as
Quality Therapy OC
Practice address
400 E la Habra Blvd
La Habra, CA 90631-5525
Phone
(562) 217-4410
Fax
(562) 393-4442
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Edgar Antonio Villa, LCSWNPI 1053608570
Title
President
Phone
(714) 589-9228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

400 E la Habra Blvd
La Habra, CA 90631-5525

Mailing address

400 E la Habra Blvd
La Habra, CA 90631-5525
Phone (562) 217-4410

Other names 1

  • Quality Therapy OC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Divine Treatment Centers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 E La Habra Blvd
La Habra, CA 90631
Phone (562) 217-4410

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1396289401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315525",
            "telephone_number": "562-217-4410",
            "fax_number": "562-393-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315525",
            "telephone_number": "562-217-4410",
            "fax_number": "562-393-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE TREATMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-589-9228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Therapy OC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.