Organization
LAKE COUNTY COMMUNITY ACTION AGENCY
Active
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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