| NPI | 1538858113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERVINE RAZMAZMA Managing Partner 408-813-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |