| Sccmhd - Evans Lane Program | |
|
2090 Evans Ln San Jose CA 95125-2072 | |
| (408) 885-5770 | |
| Not Available |
| Full Name | Sccmhd - Evans Lane Program |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2090 Evans Ln, San Jose, California |
| Authorized Official Name and Position | Sherri Terao (DIRECTOR OF BEHAVIORAL SERVICES) |
| Authorized Official Contact | 4088855782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sccmhd - Evans Lane Program 828 S Bascom Ave #200 San Jose CA 95128-2651 Ph: (408) 885-5770 | Sccmhd - Evans Lane Program 2090 Evans Ln San Jose CA 95125-2072 Ph: (408) 885-5770 |
| NPI Number | 1174784169 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174784169 | NPI | - | NPPES |
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