Organization
COUNTY OF LAKE
Active
Other names
Lake County Behavioral Health Services, Lake County Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE JONES MA (BEHAVIORAL HEALTH DIRECTOR)
(707) 274-9101
Entity
Organization
Contact information
Practice address
7000B S CENTER DR, CLEARLAKE, CA 95422-8131
(707) 994-7090
(707) 994-7092
Mailing address
PO BOX 1024, LUCERNE, CA 95458-1024
(707) 274-9101
(707) 274-9192
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712
—
CA
Enumeration date
05/10/2007
Last updated
08/10/2023
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