NPI | 1164423570 |
---|---|
Doing Business As | LAKE AREA PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | BETHANNE CARSON Owner/CEO 337-478-9331 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2005-08-09 |
Last Update Date | 2024-06-19 |