NPI | 1831535673 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER CHARLES DODD Executive Director 415-205-9005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2013-05-20 |
Last Update Date | 2013-05-20 |