| NPI | 1104046481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINA ANNE LUCERO Executive Director 415-487-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251B00000X Case Management (Licence: CA 380059AN) |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2016-08-05 |