| NPI | 1972218147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHILA LAMBINO Director Of Licensing & Cert. 415-912-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |