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Organization
GRAYWOOD WELLNESS LLC
Active
Organization
GRAYWOOD WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE TINERVIN (PRESIDENT OF OPERATIONS)
(415) 450-0031
Entity
Organization
Contact information
Practice address
31601 AVENIDA LOS CERRITOS, SAN JUAN CAPISTRANO, CA 92675-1798
(415) 450-0031
Mailing address
31601 AVENIDA LOS CERRITOS, SAN JUAN CAPISTRANO, CA 92675-1798
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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