| NPI | 1053576694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PIERCE Executive Director 415-503-3001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 380006AN) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2016-02-08 |