Provider First Line Business Practice Location Address:
KAISER PERMANENTE BEHAVIORAL HEALTH CENTER
Provider Second Line Business Practice Location Address:
3840 HOMESTEAD ROAD
Provider Business Practice Location Address City Name:
SANTA CLARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-851-4923
Provider Business Practice Location Address Fax Number:
408-851-4925
Provider Enumeration Date:
12/10/2020