| NPI | 1386973972 |
|---|---|
| Doing Business As | TELECARE RENEW FULTON STREET |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-292-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2026-07-02 |