| NPI | 1831456268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA ANNE CECCATO Residentail Supervisor 650-347-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 380011BN) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |