NPI | 1851720882 |
---|---|
Doing Business As | THE LAKE HOUSE |
Entity Type | Organization |
Authorized Contact | STUART BIRNBAUM CEO 561-267-8481 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 560042AP) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2013-11-12 |