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 |