| Tahoe Treatment Center | |
|
6490 S Mccarran Blvd Ste D1-28 Reno NV 89509-6165 | |
| (775) 826-6218 | |
| Not Available |
| Full Name | Tahoe Treatment Center |
|---|---|
| Speciality | Social Worker |
| Location | 6490 S Mccarran Blvd, Reno, Nevada |
| Authorized Official Name and Position | Bobbi Nemovicher (PRESIDENT) |
| Authorized Official Contact | 7752338320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahoe Treatment Center 10701 Laburnham Cir Truckee CA 96161-1317 Ph: () - | Tahoe Treatment Center 6490 S Mccarran Blvd Ste D1-28 Reno NV 89509-6165 Ph: (775) 826-6218 |
| NPI Number | 1619204021 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 11/05/2009 |
| Medicare PECOS PAC ID | 3870815947 |
|---|---|
| Medicare Enrollment ID | O20141126000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619204021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5464-C (Nevada) | Primary |
| Provider Name | Bobbi J Nemovicher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598937575 PECOS PAC ID: 8426119314 Enrollment ID: I20081210000794 |
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