| NPI | 1750596300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MACALLAIR Executive Director 415-621-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-03-04 |