| Tahoe Youth & Family Services | |
|
100 Foothill Rd. Building D, Room 5 Markleeville CA 96120-9631 | |
| (775) 782-4202 | |
| Not Available |
| Full Name | Tahoe Youth & Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Foothill Rd., Markleeville, California |
| Authorized Official Name and Position | Christopher Croft (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7757824202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahoe Youth & Family Services 1512 Us Highway 395 N Suite 3 Gardnerville NV 89410-5282 Ph: (775) 782-4202 | Tahoe Youth & Family Services 100 Foothill Rd. Building D, Room 5 Markleeville CA 96120-9631 Ph: (775) 782-4202 |
| NPI Number | 1063822492 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 04/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063822492 | NPI | - | NPPES |
| 1265625636 | Other | CA | MEDI-CAL |
| 1700173077 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C0636452 (California) | Primary |
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