| NPI | 1942919204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA ANDERSON Chief Operating Officer 415-602-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-05-11 |