NPI | 1467293985 |
---|---|
Doing Business As | TELECARE EMPOWER IST |
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 | 2024-06-06 |
Last Update Date | 2024-06-06 |