| NPI | 1902242753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER CHARLES DODD Executive Director 415-205-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |