| NPI | 1306419684 |
|---|---|
| Doing Business As | LAKES REGIONAL COMMUNITY CENTER |
| Entity Type | Organization |
| Authorized Contact | ZANETTE COTTON Credentialing Manager 972-524-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |