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Organization

TELECARE COPRATION

Active
Other names
Jay Mahler Recovery Center
Organization subpart
No

Provider details

NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization

Contact information

Practice address
15430 FOOTHILL BLVD, SAN LEANDRO, AR 94578
(510) 357-3562
Mailing address
15430 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 357-3562

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
02/07/2017
Last updated
03/01/2023
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