| NPI | 1811258288 |
|---|---|
| Doing Business As | TELECARE IMD STEP-DOWN |
| 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 101191) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2023-03-09 |