| NPI | 1568495588 |
|---|---|
| Doing Business As | MT. LAKES BEHAVIORAL HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | MYRON GARGIS Intermin Executive Director 256-582-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-10-18 |