NPI | 1215068481 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAYTON ANDREW DUMONT Chief Operating Officer 415-865-0964 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 380004AN) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2024-11-27 |