| NPI | 1952056012 |
|---|---|
| Doing Business As | EVANS LANE WELLNESS AND RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | SHERRI TERAO Director Of Behavioral Health 408-885-5776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |