| NPI | 1578954079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OBRIEN Co Founder 408-384-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-12-14 |