| Crowes Nest Outpatient Llc | |
|
17400 Northwoods Blvd Ste 1a Truckee CA 96161-6062 | |
| (530) 448-4555 | |
| Not Available |
| Full Name | Crowes Nest Outpatient Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17400 Northwoods Blvd Ste 1a, Truckee, California |
| Authorized Official Name and Position | Craig Douglas Woolard (COMPLIANCE OFFICER) |
| Authorized Official Contact | 5613462550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crowes Nest Outpatient Llc 17356 Northwoods Blvd Truckee CA 96161-6045 Ph: (530) 448-4555 | Crowes Nest Outpatient Llc 17400 Northwoods Blvd Ste 1a Truckee CA 96161-6062 Ph: (530) 448-4555 |
| NPI Number | 1952171266 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952171266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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