| NPI | 1942059183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMORY MOWREY Executive Director 415-864-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-22 |