Psg-Dr. Gardner Outpatient Program in Lucerne - Community/behavioral Health
Psg-Dr. Gardner Outpatient Program - NPI 1457569949
Psg-Dr. Gardner Outpatient Program is a Community/behavioral Health in Lucerne, California. Psg-Dr. Gardner Outpatient Program practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Psg-Dr. Gardner Outpatient Program is 1457569949. The last update date is 2020-08-22.
Psg-Dr. Gardner Outpatient Program's current location address is P.o. Box 1978, Lucerne, California. You can contact this provider via phone number 7072749299 and fax number 7072749297. The mailing address for Psg-Dr. Gardner Outpatient Program is P.o. Box 1978, Lucerne, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psg-Dr. Gardner Outpatient Program |
|---|---|
| Address | P.o. Box 1978, Lucerne, California |
| Phone Number | 7072749299 |
| Fax Number | 7072749297 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Lanier Kay |
| Telephone Number | 7072749299 |
NPI Number Detail
| NPI Number | 1457569949 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | P.o. Box 1978 |
|---|---|
| City | Lucerne |
| State | California (CA) |
| Post Code | 95458 |
| Phone Number | 7072749299 |
| Fax Number | 7072749297 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: 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 dis |
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What is the Psg-Dr. Gardner Outpatient Program's unique identification number?
The Psg-Dr. Gardner Outpatient Program has been assigned the NPI (National Provider Identifier) Number 1457569949 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Psg-Dr. Gardner Outpatient Program located?
The Psg-Dr. Gardner Outpatient Program is located at P.O. Box 1978, Lucerne, CA 95458.
What is the area of specialization for Psg-Dr. Gardner Outpatient Program, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Psg-Dr. Gardner Outpatient Program is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did the Psg-Dr. Gardner Outpatient Program receive the assignment of its 1457569949 from the Centers for Medicare & Medicaid Services?
The Psg-Dr. Gardner Outpatient Program was issued its 1457569949 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date were the details pertaining to Psg-Dr. Gardner Outpatient Program last refreshed?
The information related to the Psg-Dr. Gardner Outpatient Program, including its address, specialty, and other relevant details, was last updated on 2020-08-22.