| NPI | 1912999715 |
|---|---|
| Doing Business As | THE LAKEWOOD GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT F MEHL Psychologist 972-771-3969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2022-07-21 |