| Department Of Alcohol And Drug Serices-south County Clinic | |
|
90 Highland Ave San Martin CA 95046-9504 | |
| (408) 686-2222 | |
| Not Available |
| Full Name | Department Of Alcohol And Drug Serices-south County Clinic |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 90 Highland Ave, San Martin, California |
| Authorized Official Name and Position | Robert Garner (DEPARTMENT DIRECTOR) |
| Authorized Official Contact | 4087925680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Alcohol And Drug Serices-south County Clinic 976 Lenzen Ave 3rd Floor San Jose CA 95126-2737 Ph: (408) 792-5680 | Department Of Alcohol And Drug Serices-south County Clinic 90 Highland Ave San Martin CA 95046-9504 Ph: (408) 686-2222 |
| NPI Number | 1619011616 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 07/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619011616 | NPI | - | NPPES |
| 434394 | Other | CA | STATE PROVIDER NUMBER |
| 4394 | Other | CA | DRUG MEDI-CAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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