| NPI | 1861919573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN CEO 415-762-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |