Organization · Type 2 NPI
South Lake Tahoe Recovery and Rehabilitation, LLC
Substance Use Disorder Rehabilitation Clinic/Center · South Lake Tahoe, CA
NPI number
1043788359
Active
Practice location
591 Tahoe Keys Blvd Ste D2
South Lake Tahoe, CA 96150-3359
Mailing address
262 Gaffey Rd
Watsonville, CA 95076-9731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1043788359
South Lake Tahoe Recovery and Rehabilitation, LLC's National Provider Identifier is 1043788359, issued on Nov 5, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Sep 20, 2022.