Blue Heron

NPI #1376972190 in Clearlake, California

Provider Information

NPI Number
1376972190
Entity Type
Organization
Organization Name
Blue Heron
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
Nov 2, 2013
Last Updated
Nov 2, 2013

Practice Location

Address
15850 DAM ROAD EXT
ZIP Code
95422-9359
Phone
(707) 994-6447

Authorized Official

Name
DONNA BECNEL, PHD
Title
SUPERINTENDENT
Phone
(707) 994-6475

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)

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