| NPI | 1619271301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZANEH TABRIZI Director 408-384-9719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2016-08-19 |