| NPI | 1588861876 |
|---|---|
| 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 | 273R00000X Psychiatric Unit (Licence: GA 011-657) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: GA 011-615) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2013-07-16 |