NPI | 1790235422 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD GRANESE Medical Director 949-257-3637 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2016-10-05 |
Last Update Date | 2016-10-05 |