Organization
UHS OF LAKESIDE LLC
Active
Other names
Lakeside Behavioral Health System
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (CFO/ SR VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
2911 BRUNSWICK RD, MEMPHIS, TN 38133-4105
(901) 377-4700
Mailing address
2911 BRUNSWICK RD, MEMPHIS, TN 38133-4105
(901) 377-4700
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
230
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131599140
—
TN
Enumeration date
02/13/2006
Last updated
08/05/2010
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