Organization
TELECARE MENTAL HEALTH SERVICES OF ARIZONA INC
Active
Other names
TELECARE YUMA ACT
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
1595 S 1ST AVE, YUMA, AZ 85364-4706
(928) 329-5855
(928) 329-5904
Mailing address
1080 MARINA VILLAGE PARKWAY, SUITE 100, ALAMEDA, CA 94501-1087
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6996
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
986992
—
AZ
Enumeration date
10/28/2014
Last updated
03/23/2023
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