| NPI | 1760513576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN Chief Executive Officer 415-762-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-01-16 |