NPI | 1013041482 |
---|---|
Entity Type | Organization |
Authorized Contact | VITKA EISEN CEO 415-762-3700 |
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 | 2016-02-25 |