Organization
TELECARE CORPORATION
Active
Other names
TELECARE AGNES AVENUE CRISIS RESIDENTIAL
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DAVIS (SVP, CFO)
(510) 337-7950
Entity
Organization
Contact information
Practice address
116 AGNES AVE, SANTA MARIA, CA 93458-2838
(805) 457-3724
(805) 852-1863
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
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
09/30/2019
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