NPI | 1689762486 |
---|---|
Other Name | TELECARE MCMILLAN RANCH |
Entity Type | Organization |
Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-337-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA DDS 425808215) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2023-03-08 |