| NPI | 1043358542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GATES CFO Shba 510-450-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: CA 140000232) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2022-01-20 |