| NPI | 1972761013 |
|---|---|
| Other Name | LAKESIDE ACADEMY |
| Entity Type | Organization |
| Authorized Contact | GRAYSON HARCOURT Business Office Director 512-858-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |