| NPI | 1407166416 |
|---|---|
| Other Name | 890 |
| Entity Type | Organization |
| Authorized Contact | TYRONE EVANS Mental Health Caremanager 415-701-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |