| NPI | 1114447141 |
|---|---|
| Doing Business As | TELECARE AGEWISE ICM |
| Entity Type | Organization |
| Authorized Contact | LESLIE DAVIS SVP, CFO 510-337-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2020-09-18 |