| 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 |