| Lake County Behavioral Health Services | |
|
7000b S Center Dr Clearlake CA 95422-8131 | |
| (707) 994-7090 | |
| (707) 994-7092 |
| Full Name | Lake County Behavioral Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7000b S Center Dr, Clearlake, California |
| Authorized Official Name and Position | Elise Jones (BEHAVIORAL HEALTH DIRECTOR) |
| Authorized Official Contact | 7072749101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Behavioral Health Services P O Box 1024 Lucerne CA 95458 Ph: (707) 274-9101 | Lake County Behavioral Health Services 7000b S Center Dr Clearlake CA 95422-8131 Ph: (707) 994-7090 |
| NPI Number | 1619039211 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619039211 | NPI | - | NPPES |
| 171712 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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