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 |