| Organization Name: | EL DORADO COUNTY PUBLIC HEALTH |
| NPI Number: | 1063615490 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOE ARSENITH (DIVISION MANAGER ALCOHOL & DRUG PRO) |
| Mailing Address: | 1120 3rd St South Lake Tahoe |
| State: | CA US |
| Postal Code: | 961503451 |
| Phone Number: | 5306217561 |
| Fax Number: | 5302952596 |
| NPI Enumeration Date: | 06/05/2007 |
| NPI Last Update Date: | 10/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |