Lake County Behavioral Health Services | |
6302 Thirteenth Ave Lucerne CA 95458-1024 | |
(707) 274-9101 | |
(707) 274-9192 |
Full Name | Lake County Behavioral Health Services |
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Speciality | Community/behavioral Health |
Location | 6302 Thirteenth Ave, Lucerne, 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 Po Box 1024 Lucerne CA 95458-1024 Ph: (707) 274-9101 | Lake County Behavioral Health Services 6302 Thirteenth Ave Lucerne CA 95458-1024 Ph: (707) 274-9101 |
NPI Number | 1215140066 |
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Provider Enumeration Date | 05/08/2007 |
Last Update Date | 08/26/2024 |
Certification Date | 08/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215140066 | NPI | - | NPPES |
1701 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (California) | Primary |
Robert W. Gardner Psg-dr. Gardner Outpatient Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 E. Hwy 20, Lucerne, CA 95458 Phone: 707-274-9299 Fax: 707-274-9297 | |
Dr. Gardner Outpatient Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 E. Hwy 20, Lucerne, CA 95458 Phone: 707-274-9299 Fax: 707-274-9297 | |
Psg-dr. Gardner Outpatient Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 E. Hwy 20, Lucerne, CA 95458 Phone: 707-274-9299 Fax: 707-274-9297 | |
Robert W. Gardner Dr. Gardner Outpatient Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6300 E Hwy 20, Lucerne, CA 95458 Phone: 707-274-9299 Fax: 707-274-9297 | |
Lake County Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6302 Thirteenth Ave, Lucerne, CA 95458 Phone: 707-274-9101 Fax: 707-274-9192 |