NPI | 1467167965 |
---|---|
Doing Business As | ATHENA HOUSE |
Entity Type | Organization |
Authorized Contact | JOHN CHRISTOPHER KUGHN CEO 415-457-6966 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2023-01-18 |
Last Update Date | 2025-06-05 |