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9055 Highway 53 Lower Lake CA 95457 | |
| (707) 262-4285 | |
| (707) 262-4292 |
| Full Name | |
|---|---|
| Speciality | Case Management |
| Location | 9055 Highway 53, Lower Lake, California |
| Authorized Official Name and Position | Meredith Noyer (CHIEF DEPUTY PROBATION OFFICER) |
| Authorized Official Contact | 7072624292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
201 S Smith St Lakeport CA 95453-4921 Ph: (707) 262-4285 | 9055 Highway 53 Lower Lake CA 95457 Ph: (707) 262-4285 |
| NPI Number | 1598500449 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598500449 | NPI | - | NPPES |
County Of Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9055 Highway 53, Lower Lake, CA 95457 Phone: 707-274-9101 | |
Optimum Wellness Group Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9980 Mill St, Lower Lake, CA 95457 Phone: 707-802-8145 |