NPI | 1306292248 |
---|---|
Doing Business As | LAKE COUNTY |
Other Name | LAKE COUNTY |
Entity Type | Organization |
Authorized Contact | MARCELLA KLAUER Executive Assistant 773-572-5480 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2021-09-10 |