| NPI | 1306220199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GRANESE Medical Director/Psychiatrist 949-489-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 27276) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |