Organization · Type 2 NPI

Psg-Dr. Gardner Outpatient Program

Community/Behavioral Health Agency · Lucerne, CA

NPI number 1457569949 Active

Practice location

6300 E. Hwy 20
Lucerne, CA 95458

Call (707) 274-9299 Map

Fax (707) 274-9297

Mailing address

P.o. Box 1978
Lucerne, CA 95458

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1457569949

Psg-Dr. Gardner Outpatient Program's National Provider Identifier is 1457569949, issued on May 18, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lucerne, CA. The record was last updated on Aug 22, 2020.