| NPI | 1851550362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVEY IKE GROZIER Executive Director 408-264-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 430057BP) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |