| NPI | 1023885241 |
|---|---|
| Doing Business As | TELECARE AOT OASIS-N B STREET |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-292-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2023-12-07 |