NPI | 1962247296 |
---|---|
Doing Business As | TELECARE LA JIMHCS |
Entity Type | Organization |
Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-292-7024 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-06-27 |
Last Update Date | 2024-07-03 |