Organization
COUNTY OF SANTA CLARA
Active
Other names
CENTRAL VALLEY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRI TERAO (DIR, BEHAVIORAL HEALTH SVCS)
(408) 885-5776
Entity
Organization
Contact information
Practice address
2425 ENBORG LN, SAN JOSE, CA 95128-2648
(408) 885-5400
Mailing address
828 S BASCOM AVE STE 200, SAN JOSE, CA 95128-2600
(408) 885-5770
(408) 885-5788
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
434397
STATE PROVIDER NUMBER
CA
01
—
4397
DRUG MEDI-CAL NUMBER
CA
Enumeration date
02/16/2007
Last updated
11/25/2024
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