Psg-Dr. Gardner Outpatient Program
NPI #1457569949 in Lucerne, California
Provider Information
- NPI Number
- 1457569949
- Entity Type
- Organization
- Organization Name
- Psg-Dr. Gardner Outpatient Program
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6300 E. HWY 20
- City
- Lucerne
- State
- California
- ZIP Code
- 95458
- Phone
- (707) 274-9299
Authorized Official
- Name
- KAY LANIER
- Title
- PROGRAM DIRECTOR
- Phone
- (707) 274-9299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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