NPI | 1659628220 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA V GRIMM Program Director 415-864-2364 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Enumeration Date | 2012-08-13 |
Last Update Date | 2012-08-13 |