| NPI | 1669428140 |
|---|---|
| Former Legal Business Name | NORTH LAKE COMMUNITY MENTAL HEALTH, LLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT L. MILLER Executive Officer 225-293-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: LA 194701) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2010-07-02 |