Organization
DEPARTMENT OF BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES JOSEPH GRANGER LMFT (CLINICAL THERAPIST II)
(909) 421-9384
Entity
Organization
Contact information
Practice address
2164 HACKAMORE PL, RIVERSIDE, CA 92506-4616
(951) 686-4909
Mailing address
2164 HACKAMORE PL, RIVERSIDE, CA 92506-4616
(951) 686-4909
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
MMFC 37879
CA
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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