MARINA HARBOR DETOX is a substance abuse rehabilitation facility in San Francisco, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. MARINA HARBOR DETOX NPI is 1720624497. The provider is registered as an organization entity type.
The provider's business location address is:
289 MARINA BLVD
SAN FRANCISCO, CA
ZIP 94123-212
Phone: (415) 868-3858
The provider's authorized official is Nicholas A Petrillo .
The authorized official title is Owner and has the following contact phone number (978) 788-4460.
The CLIA number assigned to this NPI record is 05D2174998 - other - residential drug with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/18/2019 and was last updated on 2/7/2024.