County of Lake
County of Lake is a Substance Use Disorder Rehabilitation Clinic/Center in Lower Lake, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
9345 Winchester StLower Lake, CA 95457-5000
Phone: (707) 994-6494
Fax: (707) 994-7092
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X · Licence 170002BN (CA) |
|---|
Record details
| NPI number | 1578861761 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristy Kelly — Department Head · (707) 263-4338 |
| Other names | Aods Clearlake |
| NPI enumerated | March 11, 2011 |
| Last updated in NPPES | August 26, 2024 |
| Certification date | August 26, 2024 |
| Mailing address | 991 Parallel Dr., Ste. B, Lakeport, CA 95453-5717 |