| NPI | 1487853982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA ELIZABETH BERG Clinical Program Director 415-863-4282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 380082AN) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2025-08-21 |