| 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 |