NPI | 1699478552 |
---|---|
Doing Business As | LAKE COUNTRY BEHAVIORAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | HUZAIFA ABUKARI SEIDU Md 678-677-3782 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2023-03-22 |
Last Update Date | 2024-08-01 |