| NPI | 1194217679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER VON TEMPSKY CEO 415-488-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-06-16 |