| NPI | 1184304776 |
|---|---|
| Doing Business As | BUCKELEW ORENDA CENTER |
| Doing Business As | ATHENA HOUSE |
| Entity Type | Organization |
| Authorized Contact | JOHN CHRISTOPHER KUGHN CEO 415-457-6966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-03-04 |