| NPI | 1487872974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DEAN Director 650-578-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 4104) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |