| NPI | 1235615501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN CEO 415-762-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-10-28 |