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
6302 THIRTEENTH AVE, LUCERNE, CA 95458-1024
(707) 274-9101
(707) 274-9192
Mailing address
PO BOX 1024, 6302 THIRTEENTH AVE, LUCERNE, CA 95458-1024
(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
—
171717
—
CA
Enumeration date
05/10/2007
Last updated
08/26/2024
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