| NPI | 1093178279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN RICCI Program Manager 415-454-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |