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NPI Code Detail

MEDICARE: COUNTY OF SANTA CLARA

MEDICARE: COUNTY OF SANTA CLARA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility
2261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1174784169
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF SANTA CLARA
Provider Business Mailing Address
First Line : 828 S BASCOM AVE STE 200
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2600
Country : US
Telephone Number : 408-885-5770
Fax Number : 408-885-5788
Provider Business Practice Location Address
First Line : 2090 EVANS LN
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-2072
Country : US
Telephone Number : 408-885-5770
Fax Number :
Authorized Official
Title or Position : DIR, BEHAVIORAL HEALTH SVCS
Name : SHERRI TERAO
Credential :
Telephone Number : 408-885-5776
Provider Enumeration Date : 06/23/2008
Last Update Date : 11/22/2024

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Directions to “COUNTY OF SANTA CLARA ” Practice Location

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