| 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 |
|---|---|
| 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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