| NPI | 1538670211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN DAVIS Chief Financial & Operations Office 415-474-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2020-02-14 |