| NPI | 1457285512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BOWEN COO 415-497-7722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2026-06-11 |
| Last Update Date | 2026-06-11 |