Organization
LAKES REGIONAL MHMR CENTER
Active
Other names
Lakes Regional Community Center
Organization subpart
No
Provider details
NPI number
Authorized official
ZANETTE COTTON (CREDENTIALING MANAGER)
(972) 524-4159
Entity
Organization
Contact information
Practice address
400 AIRPORT RD, TERRELL, TX 75160-4302
(972) 388-2000
(972) 524-1002
Mailing address
PO BOX 747, TERRELL, TX 75160-0014
(972) 524-4159
(972) 524-1002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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