| NPI | 1033554837 |
|---|---|
| Doing Business As | LAKE SHORE CENTER FOR BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | RUBY C SANTIBANEZ Business/Office Manager 254-776-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |