South Lake Tahoe Recovery and Rehabilitation, LLC
NPI #1043788359 in South Lake Tahoe, California
Provider Information
- NPI Number
- 1043788359
- Entity Type
- Organization
- Organization Name
- South Lake Tahoe Recovery and Rehabilitation, LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Nov 5, 2018
- Last Updated
- Sep 20, 2022
Practice Location
- Address
- 591 TAHOE KEYS BLVD STE D2
- City
- South Lake Tahoe
- State
- California
- ZIP Code
- 96150-3359
- Phone
- (530) 539-9029
Authorized Official
- Name
- MR. NATHAN TUDDENHAM
- Title
- CHIEF OPERATING OFFICER
- Phone
- (831) 740-4629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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