| NPI | 1538206966 |
|---|---|
| Doing Business As | JOE HEALY DETOXIFICATION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | BRETT ANDREWS Chief Executive Officer 415-972-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 380001BN) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-08-21 |