| NPI | 1497414585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MUNOZ Supervising Counselor 415-306-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |