| NPI | 1063615490 |
|---|---|
| Other Name | ALCOHOL AND DRUG PROGRAM-SOUTH LAKE TAHOE |
| Entity Type | Organization |
| Authorized Contact | SALINA MARIE DRENNAN Suds Program Administrator/Manager 530-621-6207 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2018-09-25 |