County of Lake

NPI #1356181127 in Clearlake, California

Provider Information

NPI Number
1356181127
Entity Type
Organization
Organization Name
County of Lake
Subpart
Yes (part of a larger organization)
Parent Organization
COUNTY OF LAKE
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 29, 2024
Last Updated
Aug 26, 2024

Practice Location

Address
14092 LAKESHORE DR
ZIP Code
95422-8160
Phone
(707) 994-4261

Authorized Official

Name
ELISE JONES MA
Title
DIRECTOR
Phone
(707) 274-9101

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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