NPI | 1902069552 |
---|---|
Doing Business As | LAKE AREA COUNSELING & BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | BRADLEY BERG Board President 573-317-9061 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-07-03 |
Last Update Date | 2025-05-07 |