| NPI | 1912420449 |
|---|---|
| Doing Business As | TELECARE THURSTON MASON EVALUATION AND TREATMENT |
| Entity Type | Organization |
| Authorized Contact | LESLIE DAVIS SVP, CFO 510-337-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2021-12-14 |