| NPI | 1255473237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN CEO 415-762-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 380016AGN) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2021-10-28 |