NPI | 1578807202 |
---|---|
Doing Business As | BROOKWOOD OPT CLINIC |
Entity Type | Organization |
Authorized Contact | JOHN CHALLIS Center Point Vice President, Daac M 415-526-2943 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2012-11-19 |
Last Update Date | 2015-12-31 |