Organization
LAKES REGIONAL MENTAL HEALTH MENTAL RETARDATION 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) 524-4159
(972) 388-2009
Mailing address
400 AIRPORT RD, TERRELL, TX 75160-4302
(972) 524-4159
(972) 388-2009
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161608801
—
TX
Enumeration date
05/16/2007
Last updated
04/15/2026
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