Organization
LAKE COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE ROOONEY MFT (CHILDRENS COORDINATOR)
(707) 994-7090
Entity
Organization
Contact information
Practice address
20785 NAPA AVE, MIDDLETOWN, CA 95461-9706
(707) 987-0199
Mailing address
20785 NAPA AVE, MIDDLETOWN, CA 95461-9706
(707) 987-0199
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
101YM0800X
CA
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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