| NPI | 1205638996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERTH RIVERA Program Director 415-233-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |