| NPI | 1093240012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADONIA MIDDLETON Operations Manager 415-822-3260 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |