| NPI | 1689292773 |
|---|---|
| Doing Business As | CROSSOVER @ GRAPEVINE |
| Entity Type | Organization |
| Authorized Contact | ANGIE SAKIOKA Hr Operations Specialist 949-891-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |