| NPI | 1730532136 |
|---|---|
| Doing Business As | TELECARE TUMWATER E AND T |
| Entity Type | Organization |
| Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-747-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2023-02-17 |