Organization
LAKE FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA LYNN FLAHERTY (EXECUTIVE DIRECTOR)
(707) 262-1611
Entity
Organization
Contact information
Practice address
896 LAKEPORT BLVD, LAKEPORT, CA 95453-5421
(707) 262-1611
(707) 262-0344
Mailing address
896 LAKEPORT BLVD, LAKEPORT, CA 95453-5421
(707) 262-1611
(707) 262-0344
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1748
CA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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