| NPI | 1659179208 |
|---|---|
| Doing Business As | MOUNTAIN LAKES BEHAVIORAL HEALTHCARE-CCBHC |
| Entity Type | Organization |
| Authorized Contact | CAMMY HOLLAND Business Manager 256-582-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |