| NPI | 1801279930 |
|---|---|
| Other Name | OBIC |
| Entity Type | Organization |
| Authorized Contact | CORINNA GAMEZ Medical Director 415-503-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2017-04-07 |