| NPI | 1851411151 |
|---|---|
| Doing Business As | OBOT-TOM WADDELL |
| Entity Type | Organization |
| Authorized Contact | SHARON MCCOLE WICHER Director, Behavioral Health 415-206-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 38-07A) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |