| NPI | 1760584783 |
|---|---|
| Other Name | SCCMHD - BASCOM MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | NANCY DANE PENA Director 408-885-5782 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2008-08-22 |