Organization
TELECARE WIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH WOLF (CLINICIAN)
(714) 361-7950
Entity
Organization
Contact information
Practice address
1910 N BUSH ST, SANTA ANA, CA 92706-2816
(714) 361-7950
Mailing address
1910 N BUSH ST, SANTA ANA, CA 92706-2816
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
101YM0800X
CA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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