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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