Organization Name: | LAKE COUNTY MENTAL HEALTH |
NPI Number: | 1194922104 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS SIEGNER (DIRECTOR) |
Mailing Address: | 526 Center St Lakeview |
State: | OR US |
Postal Code: | 976301518 |
Phone Number: | 5419476021 |
Fax Number: | 5419476020 |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |