Organization
TELECARE SOAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANA KELLY GILLESPIE BA PSYCHOLOGY (CASE MANAGER)
(916) 484-3570
Entity
Organization
Contact information
Practice address
900 FULTON AVE STE 205, SACRAMENTO, CA 95825-4517
(916) 484-3570
Mailing address
900 FULTON AVE STE 205, SACRAMENTO, CA 95825-4517
(916) 484-3570
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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