Dr. Gardner Outpatient Program
Community/Behavioral Health in Lucerne, CA. Organization (NPI-2).
NPI number1285963413
StatusActive
Last updated in NPPESDec 17, 2009
Details
- NPI
- 1285963413
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Gardner Outpatient Program
- Organization subpart
- No
- Enumeration date
- Dec 17, 2009
- Last updated
- Dec 17, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 170007AP | CA | Yes |
Practice location
6300 E. Hwy 20Lucerne, CA 95458
Phone 707-274-9299 · Fax 707-274-9297
Mailing address
P.O. Box 1978Lucerne, CA 95458
Phone 707-274-9299 · Fax 707-274-9297
Authorized official
Kay Lynn Lanier
Administrator
7072749299
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Other Community/Behavioral Health Agency providers in Lucerne, CA
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All 6 Community/Behavioral Health Agency providers in Lucerne · All 83 providers in Lucerne
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