Organization
TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC
Active
Other names
TELECARE FERN LODGE BEHAVIORAL WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
7700 300TH ST NW, STANWOOD, WA 98292-5841
(510) 337-7950
(510) 337-7969
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
06/10/2025
Last updated
06/10/2025
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