| NPI | 1386754869 |
|---|---|
| Doing Business As | SCCMHD - FAIR OAKS MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | NANCY DANE PENA Director 408-885-5782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-12-30 |