| NPI | 1932867439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISE BLANCHARD Clinical Director 650-591-9623 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |