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Organization

MOUNTAIN HIGH RECOVERY CENTER

Active
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Organization

MOUNTAIN HIGH RECOVERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM HEWETT (ADMINISTRATIVE ASSISTANT)
(918) 207-9519
Entity
Organization

Contact information

Practice address
2949 LAKE TAHOE BLVD, SUITE B7, SOUTH LAKE TAHOE, CA 96150
(530) 600-6505
Mailing address
2949 LAKE TAHOE BLVD, SUITE B7, SOUTH LAKE TAHOE, CA 96150
(530) 600-6505

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—

Other

Enumeration date
04/13/2023
Last updated
04/13/2023
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