| El Dorado County Mental Health | |
|
1900 Lake Tahoe Blvd South Lake Tahoe CA 96150-6305 | |
| (530) 573-3251 | |
| Not Available |
| Full Name | El Dorado County Mental Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1900 Lake Tahoe Blvd, South Lake Tahoe, California |
| Authorized Official Name and Position | Sally Wiliams (LCSW/PROGRAM COORDINATOR) |
| Authorized Official Contact | 5305733251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Dorado County Mental Health 1900 Lake Tahoe Blvd South Lake Tahoe CA 96150-6305 Ph: (530) 573-3251 | El Dorado County Mental Health 1900 Lake Tahoe Blvd South Lake Tahoe CA 96150-6305 Ph: (530) 573-3251 |
| NPI Number | 1528233996 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528233996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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