| NPI | 1952761454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN CEO 415-762-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 370005GN) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2020-08-12 |