| NPI | 1144695735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS AGUIRRE Executive Director 415-826-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 38000AN) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |