Organization
TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC.
Active
Other names
Telecare Tumwater E and T
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA LOPEZ (PROVIDER RELATIONS SUPERVISOR)
(510) 747-0552
Entity
Organization
Contact information
Practice address
3285 FERGUSON ST SW, TUMWATER, WA 98512-6192
(360) 943-1907
(360) 943-1932
Mailing address
1080 MARINA VILLAGE PARKWAY, SUITE 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
07/20/2016
Last updated
02/17/2023
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