| NPI | 1659818441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE THORNE Clinical Supervisor 650-703-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 430086AN) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |