| Lake County Community Action Agency | |
|
15850 A Dam Road Clearlake CA 95422 | |
| (707) 994-6447 | |
| (707) 994-1875 |
| Full Name | Lake County Community Action Agency |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15850 A Dam Road, Clearlake, California |
| Authorized Official Name and Position | Georgina Lehne (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7079952920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Community Action Agency 15312 Lakeshore Drive Po Box 969 Clearlake CA 95422 Ph: (707) 995-2920 | Lake County Community Action Agency 15850 A Dam Road Clearlake CA 95422 Ph: (707) 994-6447 |
| NPI Number | 1235464496 |
|---|---|
| Provider Enumeration Date | 10/06/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235464496 | NPI | - | NPPES |
| 014651850 | Other | CA | COMMUNITY BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 170010BN (California) | Primary |
Lake County Community Action Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6840 S Center Dr, Clearlake, CA 95422 Phone: 707-995-1232 Fax: 707-995-7084 | |
County Of Lake Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-994-7090 Fax: 707-994-7092 | |
County Of Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14092 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-994-4261 | |
Adventist Health California Medical Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401 | |
County Of Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000b S Center Dr, Clearlake, CA 95422 Phone: 707-994-7090 Fax: 707-994-7092 | |
Lake County Community Action Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6885 Old Highway 53, Clearlake, CA 95422 Phone: 707-995-3235 Fax: 707-995-7004 |