Organization
LAKE COUNTY COMMUNITY ACTION AGENCY
Active
Other names
New Beginnings Highlands High School
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEORGINA LEHNE (EXECUTIVE DIRECTOR)
(707) 995-2920
Entity
Organization
Contact information
Practice address
15850 A DAM ROAD, CLEARLAKE, CA 95422
(707) 994-6447
(707) 994-1875
Mailing address
15312 LAKESHORE DRIVE, PO BOX 969, CLEARLAKE, CA 95422
(707) 995-2920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
170010BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014651850
COMMUNITY BEHAVIORAL HEALTH
CA
Enumeration date
10/06/2009
Last updated
10/09/2009
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