NPI | 1013383314 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY HORN CEO 510-407-6494 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2015-08-20 |
Last Update Date | 2015-08-20 |