| NPI | 1922485374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI K. WELLS Clinical Director 415-722-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2018-04-26 |