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 |