Provider Demographics
NPI:1346691094
Name:TAHOE TURNING POINT, INC. PLACERVILLE
Entity Type:Organization
Organization Name:TAHOE TURNING POINT, INC. PLACERVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAEGELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-541-4594
Mailing Address - Street 1:344 PLACERVILLE DR STE 17
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-3972
Mailing Address - Country:US
Mailing Address - Phone:530-295-8206
Mailing Address - Fax:
Practice Address - Street 1:344 PLACERVILLE DR STE 17
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-3972
Practice Address - Country:US
Practice Address - Phone:530-295-8206
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAHOE TURNING POINT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health