| Telecare Mason Tcat | |
|
601 W Franklin St Suite B Shelton WA 98584-3518 | |
| (360) 462-3016 | |
| (360) 462-3017 |
| Full Name | Telecare Mason Tcat |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 601 W Franklin St, Shelton, Washington |
| Authorized Official Name and Position | Leslie Davis (SVP, CFO) |
| Authorized Official Contact | 5103377950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telecare Mason Tcat 1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | Telecare Mason Tcat 601 W Franklin St Suite B Shelton WA 98584-3518 Ph: (360) 462-3016 |
| NPI Number | 1982135554 |
|---|---|
| Provider Enumeration Date | 03/24/2017 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982135554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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