Organization · Type 2 NPI

County of El Dorado

Community/Behavioral Health Agency · South Lake Tahoe, CA

NPI number 1063615490 Active

Practice location

1900 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6305

Call (530) 621-6207 Map

Mailing address

768 Pleasant Valley Rd Ste 201
Diamond Springs, CA 95619-9260

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

57 other providers at this address

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NPI record

NPI: 1063615490
Entity type: Organization (Type 2)
Issued: Jun 5, 2007
Last updated: Sep 25, 2018
Status: Active
Subpart: Yes of County of El Dorado

Other names

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Alcohol and Drug Program-South Lake Tahoe · other name
Alcohol and Drug Program-South Lake Tahoe · other name

Authorized official

Salina Marie Drennan
Suds Program Administrator/manager
(530) 621-6207

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063615490

County of El Dorado's National Provider Identifier is 1063615490, issued on Jun 5, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Sep 25, 2018.