Organization
TAHOE YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHEYANNE M LANE (EXECUTIVE DIRECTOR)
(530) 541-2445
Entity
Organization
Contact information
Practice address
1512 HWY 395 N., SUITE 3, GARDNERVILLE, NV 89410-5239
(775) 782-4202
(775) 782-5055
Mailing address
1512 HWY 395 N., SUITE 3, GARDNERVILLE, NV 89410-5239
(775) 782-4202
(775) 782-5055
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
07/07/2011
Last updated
04/18/2024
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