Organization · Type 2 NPI

Sky Lake Recovery Center, LLC

Substance Abuse Rehabilitation Facility · South Lake Tahoe, CA

NPI number 1487160388 Active

Practice location

586 Glorene Ave
South Lake Tahoe, CA 96150-3907

Call (530) 539-9026 Map

Mailing address

262 Gaffey Rd
Watsonville, CA 95076-9731

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.

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About NPI 1487160388

Sky Lake Recovery Center, LLC's National Provider Identifier is 1487160388, issued on Dec 15, 2017. 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 20, 2022.