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Lake Shore Center For Behavioral Health, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Waco, Texas
NPI 1497011456

Lake Shore Center For Behavioral Health, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Waco, TX and is specialized in Rehabilitation, Substance Use Disorder. Lake Shore Center For Behavioral Health, Llc practices in Waco, TX. The NPI Number for Lake Shore Center For Behavioral Health, Llc is 1497011456 and holds a License No. 9878 (Texas).

The current practice location address for Lake Shore Center For Behavioral Health, Llc is 4555 Lake Shore Dr, Waco, TX and can be reached out via phone at 254-776-0400.

Location: 4555 Lake Shore Dr, Waco, TX, 76710-1814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497011456
Provider Name
Lake Shore Center For Behavioral Health, Llc
Credential
Provider Entity Type
Organization
Address
4555 Lake Shore Dr, Waco, TX, 76710-1814
Phone Number
254-776-0400
Fax Number
Provider Enumeration Date
04/04/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4555 Lake Shore Dr
City
Waco
State
Texas
Zip
76710-1814
Phone Number
254-776-0400
Fax Number
person
Provider Business Mailing Address Details
Address
4555 Lake Shore Dr
City
Waco
State
Texas
Zip
76710-1814
Phone Number
254-776-0400
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
3023 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
9878 (Texas)
Definition
Definition to come...
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