| NPI | 1821033903 |
|---|---|
| Former Legal Business Name | LAKESIDE BEHAVIORAL HEALTHCARE, INC. |
| Entity Type | Organization |
| Authorized Contact | LINDA M DAMM CFO 407-875-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 283Q00000X Psychiatric Hospital | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-02-24 |