| NPI | 1245624253 |
|---|---|
| Other Name | TELECARE STULTS HOUSE |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-337-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-05-16 |