| NPI | 1174784169 |
|---|---|
| Doing Business As | EVANS LANE WELLNESS AND RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | SHERRI TERAO Dir, Behavioral Health Svcs 408-885-5776 |
| 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 | 2024-11-22 |