County Of Lake | |
9055 Highway 53 Lower Lake CA 95457 | |
(707) 274-9101 | |
Not Available |
Full Name | County Of Lake |
---|---|
Speciality | Community/behavioral Health |
Location | 9055 Highway 53, Lower Lake, California |
Authorized Official Name and Position | Elise Jones Ma (BEHAVIORAL HEALTH DIRECTOR) |
Authorized Official Contact | 7072749101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
County Of Lake Po Box 1024 Lucerne CA 95458-1024 Ph: (707) 274-9101 | County Of Lake 9055 Highway 53 Lower Lake CA 95457 Ph: (707) 274-9101 |
NPI Number | 1164265286 |
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Provider Enumeration Date | 06/17/2024 |
Last Update Date | 08/26/2024 |
Certification Date | 08/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164265286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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