Organization
TELECARE CORPORATION
Active
Other names
KAISER ICT NORTH BAY SATELLITE
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DAVIS (SVP, CFO)
(510) 337-7950
Entity
Organization
Contact information
Practice address
327B COLLEGE AVE, SANTA ROSA, CA 95401-5117
(707) 568-2800
Mailing address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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