Organization
COUNTY OF LAKE
Active
Other names
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
P O BOX 1024, LUCERNE, CA 95458
(707) 274-9101
(707) 274-9192
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171712
—
CA
Enumeration date
12/14/2006
Last updated
08/26/2024
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