Individual provider · Type 1 NPI
Diane Dee Scofield
Substance Abuse Rehabilitation Facility · South Lake Tahoe, CA
NPI number
1124215009
Active
Practice location
921 Macinaw Rd, #2
South Lake Tahoe, CA 96150-3525
Fax (530) 541-0456
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
3 other providers at this address
About NPI 1124215009
Diane Dee Scofield's National Provider Identifier is 1124215009, issued on Sep 25, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Sep 25, 2007.