Organization
SIERRA RECOVERY CENTER
Active
Organization
SIERRA RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA SMILEY (COUNSELOR INTERN)
(530) 545-9394
Entity
Organization
Contact information
Practice address
1137 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 541-5190
Mailing address
1137 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 541-5190
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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