| NPI | 1003206228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER KUGHN CEO 415-457-6964 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 210017DN) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2024-03-04 |