| NPI | 1962641811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GRANESE Owner 949-489-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CA A83535) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |