| Rite Of Passage Adolescent Treatment Centers And Schools Inc. | |
|
1693 Nadowa Street South Lake Tahoe CA 96150-9615 | |
| (530) 573-1544 | |
| Not Available |
| Full Name | Rite Of Passage Adolescent Treatment Centers And Schools Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1693 Nadowa Street, South Lake Tahoe, California |
| Authorized Official Name and Position | Nancey Carter (BEHAVIORAL HEALTH COMPLIANCE) |
| Authorized Official Contact | 6022652000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rite Of Passage Adolescent Treatment Centers And Schools Inc. 20275 E Rittenhouse Rd Ste 105 Queen Creek AZ 85142-1661 Ph: (480) 987-2053 | Rite Of Passage Adolescent Treatment Centers And Schools Inc. 1693 Nadowa Street South Lake Tahoe CA 96150-9615 Ph: (530) 573-1544 |
| NPI Number | 1811659378 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/12/2021 |
| Certification Date | 10/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811659378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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