| NPI | 1184344517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL WAHAB K NYONYINTONO Owner 650-457-3962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |