| Lake County Office Of Education | |
|
1152 S Main St Lakeport CA 95453-5517 | |
| (707) 263-6561 | |
| (707) 263-0197 |
| Full Name | Lake County Office Of Education |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1152 S Main St, Lakeport, California |
| Authorized Official Name and Position | Robert Young (DIRECTOR) |
| Authorized Official Contact | 7072638795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Office Of Education 1152 S Main St Lakeport CA 95453-5517 Ph: (707) 263-6561 | Lake County Office Of Education 1152 S Main St Lakeport CA 95453-5517 Ph: (707) 263-6561 |
| NPI Number | 1275083982 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275083982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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