NPI | 1073750022 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN F. PETTUS CEO 510-835-9610 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2009-01-13 |
Last Update Date | 2017-05-17 |