Organization · Type 2 NPI
Lakeside Life Recovery, LLC
Substance Abuse Rehabilitation Facility · Newark, TX
NPI number
1609171008
Active
Practice location
341 County Road 4874
Newark, TX 76071-3715
Mailing address
2909 Race St
Fort Worth, TX 76111-4134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
About NPI 1609171008
Lakeside Life Recovery, LLC's National Provider Identifier is 1609171008, issued on Jan 14, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Newark, TX. The record was last updated on Jan 14, 2011.