| NPI | 1134634116 |
|---|---|
| Doing Business As | LAKE BEHAVIORAL HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD A KRESCH Manager 212-243-5565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2021-06-10 |