| NPI | 1780972943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ELIZABETH MOON Primary Counselor 650-348-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 64718) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-07-21 |