| Tahoe Youth & Family Services | |
|
1021 Fremont Ave South Lake Tahoe CA 96150-8136 | |
| (530) 541-2445 | |
| Not Available |
| Full Name | Tahoe Youth & Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1021 Fremont Ave, South Lake Tahoe, California |
| Authorized Official Name and Position | Alissa Nourse (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5305412445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahoe Youth & Family Services 1021 Fremont Ave South Lake Tahoe CA 96150-8136 Ph: (530) 541-2445 | Tahoe Youth & Family Services 1021 Fremont Ave South Lake Tahoe CA 96150-8136 Ph: (530) 541-2445 |
| NPI Number | 1265625636 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 08/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265625636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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