Organization
BLOOMING INTEGRATIVE PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH FRALEY (CEO)
(951) 387-0782
Entity
Organization
Contact information
Practice address
23283 CANYON LAKE DR S, CANYON LAKE, CA 92587-7598
(951) 387-0782
Mailing address
31566 RAILROAD CANYON RD STE 2, CANYON LAKE, CA 92587-9446
(951) 387-0782
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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