| NPI | 1992861694 |
|---|---|
| Other Name | WESTSIDE METHADONE CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARY ANN JONES Chief Executive Officer 415-431-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-08-31 |