| NPI | 1598518680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEU TRUNG NGUYEN Sud Counselor 650-513-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |