County of Lake

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1578861761

County of Lake provides Substance Use Disorder Rehabilitation Clinic/Center services in Lower Lake, California. Licensed in California. Registered with an NPI since 2011.

Licensed in: CA
In the registry since: 2011

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9345 Winchester St
Lower 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