NPI | 1568519981 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA FAIRLEY Program Director 415-864-2364 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2020-08-22 |