| NPI | 1699277376 |
|---|---|
| Doing Business As | LAKE ARIEL RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | STEVE IMBURGIO CEO 347-213-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |