| Telecare Mental Health Collaborative Court Program | |
|
3491 Kurtz St Ste 150 San Diego CA 92110-4430 | |
| (619) 481-5200 | |
| (619) 481-5271 |
| Full Name | Telecare Mental Health Collaborative Court Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3491 Kurtz St Ste 150, San Diego, California |
| Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Contact | 5103377950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telecare Mental Health Collaborative Court Program 1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | Telecare Mental Health Collaborative Court Program 3491 Kurtz St Ste 150 San Diego CA 92110-4430 Ph: (619) 481-5200 |
| NPI Number | 1568842847 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568842847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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