| NPI | 1013041482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHILA LAMBINO Dir. Licensing & Certification 415-912-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 37005EN) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-02-04 |