| NPI | 1861740664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC HERING Vice President 415-526-2942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 110000414) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |