| NPI | 1245660521 |
|---|---|
| Doing Business As | LAKE BRIDGE BEHAVIORAL HEALTH SYSTEM |
| Entity Type | Organization |
| Authorized Contact | STEVE FILTON Sr VP CFO 800-768-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2014-03-04 |