Lakewood
NPI #1801129127 in Belmont, North Carolina
Provider Information
- NPI Number
- 1801129127
- Entity Type
- Organization
- Organization Name
- Lakewood
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HOLY ANGELS INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 18, 2009
- Last Updated
- Aug 30, 2017
Practice Location
- Address
- 302 GREENWOOD PL
- City
- Belmont
- State
- North Carolina
- ZIP Code
- 28012-2911
- Phone
- (704) 829-4410
Authorized Official
- Name
- SHANNON CHILDRESS
- Title
- CHIEF CLINICAL OFFICER
- Phone
- (704) 829-4410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Community/Behavioral Health |
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