Sccmhd - Evans Lane Program

LBN: County Of Santa Clara
Sccmhd - Evans Lane Program is an health care organization with primary practice located at 2090 Evans Ln , San Jose CA 95125-2072. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. County Of Santa Clara can be contacted via phone (408) 885-5770, or through Terao, Sherri via phone (408) 885-5782.

Contact Information

Primary practice address
2090 Evans Ln San Jose CA 95125-2072
Phone: (408) 885-5770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Terao, Sherri
Phone: (408) 885-5782

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1174784169
LBN Legal business name County Of Santa Clara
DBA Doing business as Sccmhd - Evans Lane Program
Authorized official Terao, Sherri
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 23rd, 2008
Last updated Sep 27th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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