| NPI | 1184835332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FRAZEE SOBKY Counselor 510-727-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 01-94) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2008-06-25 |