NPI | 1699523738 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDELL JAMES Director 415-424-7877 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 101Y00000X Counselor |
251B00000X Case Management | |
251S00000X | |
302R00000X Health Maintenance Organization | |
Enumeration Date | 2024-05-13 |
Last Update Date | 2024-05-13 |