| NPI | 1073048716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SMITH Director Of Operations 408-297-1182 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 430053AP) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |