NPI | 1023764727 |
---|---|
Doing Business As | TELECARE CITRUS HOUSE |
Entity Type | Organization |
Authorized Contact | LESLIE DAVIS SVP, CFO 510-337-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2022-02-22 |
Last Update Date | 2022-05-10 |