institution
County Of Lake
Substance Use Disorder Rehabilitation Clinic/Center in Lower Lake, California
NPI 1578861761

County Of Lake is a Substance Use Disorder Rehabilitation Clinic/Center based in Lakeport, CA and is specialized in Rehabilitation, Substance Use Disorder. County Of Lake practices in Lower Lake, CA. The NPI Number for County Of Lake is 1578861761 and holds a License No. 170002BN (California).

The current practice location address for County Of Lake is 9345 Winchester St, Lower Lake, CA and can be reached out via phone at 707-994-6494 and via fax at 707-994-7092.

Location: 9345 Winchester St, Lower Lake, CA, 95453-5717
institution
Provider Profile Details
NPI Number
1578861761
Provider Name
County Of Lake
Credential
Provider Entity Type
Organization
Address
9345 Winchester St, Lower Lake, CA, 95453-5717
Phone Number
707-994-6494
Fax Number
707-994-7092
Provider Enumeration Date
03/11/2011
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
9345 Winchester St
City
State
Zip
95457-5000
Phone Number
707-994-6494
Fax Number
707-994-7092
person
Provider Business Mailing Address Details
Address
9345 Winchester St
City
State
Zip
95457-5000
Phone Number
707-994-6494
Fax Number
707-994-7092
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
170002BN (California)
Definition
Definition to come...
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