| NPI | 1902193956 |
|---|---|
| Former Legal Business Name | EL CENTRO DE LIBERTAD |
| Entity Type | Organization |
| Authorized Contact | GEORGE A. BORG Chief Executive Officer 650-599-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: CA 410026CN) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |