| Sierra Agape Center | |
|
15645 Archery Vw Truckee CA 96161-1419 | |
| (530) 414-1885 | |
| Not Available |
| Full Name | Sierra Agape Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15645 Archery Vw, Truckee, California |
| Authorized Official Name and Position | Kimball Converse Pier (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5304141885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Agape Center 10153 W River St Truckee CA 96161-2392 Ph: (530) 414-1885 | Sierra Agape Center 15645 Archery Vw Truckee CA 96161-1419 Ph: (530) 414-1885 |
| NPI Number | 1801124482 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801124482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44285 (California) | Primary |
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