| NPI | 1225256902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSHMA D TAYLOR Chief Executive Officer 415-492-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 340048AN) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |