NPI | 1811393044 |
---|---|
Other Name | BRISAS IOP |
Entity Type | Organization |
Authorized Contact | RAJAGOPAL KEERTHY SUNDER Program Director 510-685-2022 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA A942233) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2016-02-17 |