NPI | 1467167965 |
---|---|
Doing Business As | ATHENA HOUSE |
Entity Type | Organization |
Authorized Contact | JOHN CHRISTOPHER KUGHN CEO 415-457-6966 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-01-18 |
Last Update Date | 2023-01-18 |