| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9300 Wren Ave, Gilroy, California |
| Authorized Official Name and Position | Sherri Terao (DIRECTOR OF BHSD) |
| Authorized Official Contact | 4088855776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
828 S Bascom Ave Ste 200 San Jose CA 95128-2600 Ph: () - | 9300 Wren Ave Gilroy CA 95020-7636 Ph: (408) 272-6594 |
| NPI Number | 1124804091 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124804091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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