| NPI | 1194417873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KILEY BORBA Admin Assistant 510-340-1527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |