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Organization
STATE OF NEVADA
Active
Organization
STATE OF NEVADA
Active
Other names
LAKE TAHOE MENTAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY C KENDALL LCSW (AGENCY DIRECTOR)
(775) 687-7500
Entity
Organization
Contact information
Practice address
175 W US HIGHWAY 50, STATELINE, NV 89779
(775) 687-3671
(775) 687-6639
Mailing address
4126 TECHNOLOGY WAY, SUITE 102, CARSON CITY, NV 89706-2013
(776) 687-7573
(775) 687-7544
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
10/10/2007
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