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Organization
TELECARE CORPORATION
Active
Organization
TELECARE CORPORATION
Active
Other names
Telecare Behavioral Health Services Team
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 292-7024
Entity
Organization
Contact information
Practice address
121 DOWNEY AVE, MODESTO, CA 95354
(209) 341-1824
(209) 523-1296
Mailing address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5077
COUNTY MENTAL HEALTH CERTIFICATION
CA
01
—
CR722J
MEDICARE PTAN
CA
Enumeration date
10/31/2006
Last updated
09/08/2026
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