| NPI | 1952284085 |
|---|---|
| Doing Business As | LAKE GRANBURY YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARANDA FIGULI Credentialing Manager 480-987-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |