| NPI | 1891589438 |
|---|---|
| Other Name | CCODP |
| Entity Type | Organization |
| Authorized Contact | KHANH ALEXANDER NGOC NGUYEN WHITED System Administrator 650-469-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |