| Sierra Recovery Center | |
|
921 Macinaw Rd Apt 1 South Lake Tahoe CA 96150-3525 | |
| (530) 541-5190 | |
| (531) 541-6031 |
| Full Name | Sierra Recovery Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 921 Macinaw Rd Apt 1, South Lake Tahoe, California |
| Authorized Official Name and Position | Elizabeth Fedor (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5305415190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Recovery Center 1137 Emerald Bay Rd South Lake Tahoe CA 96150-6207 Ph: (530) 541-5190 | Sierra Recovery Center 921 Macinaw Rd Apt 1 South Lake Tahoe CA 96150-3525 Ph: (530) 541-5190 |
| NPI Number | 1477756351 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477756351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 090003DN (California) | Primary |
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