| 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 |