| NPI | 1386834190 |
|---|---|
| Doing Business As | DSAAM OPIATE TREATMENT OUT-PATIENT PROGRAM DETOX |
| Entity Type | Organization |
| Authorized Contact | GRACE FERNANDEZ Director, Cpg Business Services 415-206-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-10-02 |