NPI | 1083984959 |
---|---|
Doing Business As | AARS, EVERGREEN VALLEY HIGH SCHOOL |
Entity Type | Organization |
Authorized Contact | VITKA EISEN Chief Executive Officer 415-762-1558 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2012-01-09 |
Last Update Date | 2014-01-15 |