| NPI | 1679517684 |
|---|---|
| Doing Business As | TELECARE RECOVERY CENTER AT SARPY |
| 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 |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 251S00000X | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2025-02-10 |