Organization
LIVE VIOLENCE FREE
Active
Other names
Vista Rise Collective
Organization subpart
No
Provider details
NPI number
Authorized official
CHELCEE THOMAS (EXECUTIVE DIRECTOR)
(530) 544-4444
Entity
Organization
Contact information
Practice address
2941 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-7804
(530) 544-4444
Mailing address
2941 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150-7804
(530) 544-4444
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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