Organization
TELECARE CORPORATION GLADMAN MENTAL HEALTH REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 337-7950
Entity
Organization
Contact information
Practice address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 536-8111
(510) 534-5202
Mailing address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 536-8111
(510) 534-5202
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
02080009
CA
Other
Enumeration date
07/03/2007
Last updated
03/06/2023
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