NPI | 1174784169 |
---|---|
Doing Business As | SCCMHD - EVANS LANE PROGRAM |
Entity Type | Organization |
Authorized Contact | SHERRI TERAO Director Of Behavioral Services 408-885-5782 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2008-06-23 |
Last Update Date | 2022-09-27 |