| NPI | 1952493199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN Chief Executive Officer 415-762-1558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 380020AN) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-01-15 |