| NPI | 1730975509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD EDWARD CHAPMAN Executive Director 415-583-6761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |