Organization
TELECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNE MIYOKO HENLEY-MEYER (REGISTERED NURSE)
(209) 602-3755
Entity
Organization
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 800-3300
Mailing address
3821 INDIAN BUTTE CT, MODESTO, CA 95355-3686
(209) 602-3755
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
315199
CA
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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