Lake County Community Action Agency

NPI 1215125026 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1215125026
Enumeration Date 10/05/2007
Last Updated 10/05/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROSE M. ROSE
Position PROGRAM DIRECTOR
Phone (707) 995-1232
Fax (707) 995-7084
Practice Location
6840 S CENTER DR
CLEARLAKE CA, 95422-8134, US
Phone (707) 995-1232
Fax (707) 995-7084
Business Location
6885 OLD HWY 53
PO BOX 6470
CLEARLAKE CA, 95422, US
Phone (707) 995-3235
Fax (707) 995-7004
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number 170010AN
Remove 1215125026 NPI Number
 

According to our database, Lake County Community Action Agency NPI is 1215125026, taxonomy code is 251S00000X and license number is 170010AN, license state is located at California. Lake County Community Action Agency physically located at 6840 S Center Dr, Clearlake CA, 95422-8134. NPI Number 1033115704 has the healthcare provider type.

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1215125026 NPI number is provided on an as is basis without warranty of any kind. 1215125026 is maintained by the National Plan & Provider Enumeration System. The contents of Lake County Community Action Agency are for informational purposes only.