| NPI | 1164892055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DOOLEY Executive Director 408-370-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |