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Lakeside Life Recovery, Llc
Substance Abuse Rehabilitation Facility in Newark, Texas
NPI 1609171008

Lakeside Life Recovery, Llc is a Substance Abuse Rehabilitation Facility based in Fort Worth, TX. Lakeside Life Recovery, Llc practices in Newark, TX. The NPI Number for Lakeside Life Recovery, Llc is 1609171008 and holds a License No. (Texas).

The current practice location address for Lakeside Life Recovery, Llc is 341 County Road 4874, Newark, TX and can be reached out via phone at 817-831-4673.

Location: 341 County Road 4874, Newark, TX, 76111-4134
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609171008
Provider Name
Lakeside Life Recovery, Llc
Credential
Provider Entity Type
Organization
Address
341 County Road 4874, Newark, TX, 76111-4134
Phone Number
817-831-4673
Fax Number
Provider Enumeration Date
01/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
341 County Road 4874
City
Newark
State
Texas
Zip
76071-3715
Phone Number
817-831-4673
Fax Number
person
Provider Business Mailing Address Details
Address
341 County Road 4874
City
Newark
State
Texas
Zip
76071-3715
Phone Number
817-831-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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.
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