LAKESIDE LIFE RECOVERY, LLC

NEWARK, TX
NPI1609171008
Entity TypeOrganization
Authorized ContactDON PERRY JOHNSON
Executive Director
972-754-6257
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2011-01-14
Last Update Date2011-01-14
Business Address
LAKESIDE LIFE RECOVERY, LLC
341 COUNTY ROAD 4874
NEWARK, TX 76071-3715
Phone number: 817-831-4673
Mailing Address
LAKESIDE LIFE RECOVERY, LLC
2909 RACE ST
FORT WORTH, TX 76111-4134
Phone number: 817-831-4673