| NPI | 1083988315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC JAY HERING Vice President 415-526-2942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: LA 475) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |