| Telecare Sonoma Act | |
|
327 College Ave Santa Rosa CA 95401-5117 | |
| (707) 568-2800 | |
| (707) 568-2808 |
| Full Name | Telecare Sonoma Act |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 327 College Ave, Santa Rosa, 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 Sonoma Act 1080 Marina Village Pkwy 100 Alameda CA 94501-6427 Ph: (510) 337-7950 | Telecare Sonoma Act 327 College Ave Santa Rosa CA 95401-5117 Ph: (707) 568-2800 |
| NPI Number | 1902931595 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902931595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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