| NPI | 1942919204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALEXANDER FORD CEO 415-686-3962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2025-01-19 |