Organization Name: | TAHOE YOUTH AND FAMILY SERVICES |
NPI Number: | 1063859072 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER CROFT (EXECUTIVE DIRECTOR) |
Mailing Address: | 948 Incline Way Incline Village |
State: | NV US |
Postal Code: | 894519527 |
Phone Number: | 7752980275 |
Fax Number: | 7757825055 |
NPI Enumeration Date: | 05/30/2013 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | C29935-2002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |