| NPI | 1831498781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BOUQUIN CEO 415-468-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 251S00000X |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2024-08-16 |