| Sccmhd - Fair Oaks Mental Health Center | |
|
660 S Fair Oaks Ave Sunnyvale CA 94086-7913 | |
| (408) 992-4800 | |
| (408) 992-4801 |
| Full Name | Sccmhd - Fair Oaks Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 660 S Fair Oaks Ave, Sunnyvale, California |
| Authorized Official Name and Position | Nancy Dane Pena (DIRECTOR) |
| Authorized Official Contact | 4088855782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sccmhd - Fair Oaks Mental Health Center 828 South Bascom Avenue Suite 200 San Jose CA 95128 Ph: (408) 885-5784 | Sccmhd - Fair Oaks Mental Health Center 660 S Fair Oaks Ave Sunnyvale CA 94086-7913 Ph: (408) 992-4800 |
| NPI Number | 1386754869 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 12/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386754869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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