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
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 DisorderRehabilitation, Substance Use Disorder

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