| NPI | 1063851954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY JONES Intern Counselor 510-666-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |