Lakeside Life Recovery, LLC
NPI #1609171008 in Newark, Texas
Provider Information
- NPI Number
- 1609171008
- Entity Type
- Organization
- Organization Name
- Lakeside Life Recovery, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 14, 2011
- Last Updated
- Jan 14, 2011
Practice Location
Authorized Official
- Name
- MR. DON PERRY JOHNSON SR.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (972) 754-6257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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