Organization
TELECARE CORPORATION
Active
Other names
AMHS TAO FSP
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
2531 W WOODLAND DR, ANAHEIM, CA 92801-2637
(714) 226-9888
(714) 226-9885
Mailing address
1080 MARINA VILLAGE PKWY, SUITE 100, ALAMEDA, CA 94501-6427
(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
—
30DF
COUNTY MENTAL HEALTH CERTIFICATE
CA
Enumeration date
10/05/2006
Last updated
03/01/2023
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