Organization
LAKE COUNTY COMMUNITY ACTION AGENCY
Active
Organization
LAKE COUNTY COMMUNITY ACTION AGENCY
Active
Other names
New Beginnings
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE M. WEAVER CADAC II (PROGRAM DIRECTOR)
(707) 995-3235
Entity
Organization
Contact information
Practice address
6840 S CENTER DR, CLEARLAKE, CA 95422-8134
(707) 995-1232
(707) 995-7084
Mailing address
6885 OLD HWY 53, PO BOX 6470, CLEARLAKE, CA 95422
(707) 995-3235
(707) 995-7004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
170010AN
CA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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