| NPI | 1902194095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PRITCHARD Executive D Irector 408-244-1834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |