| NPI | 1841656964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PRITCHARD Executive Director 408-244-1834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |