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 |