Organization
THE LAKES REGION MENTAL HEALTH CENTER, INC.
Active
Other names
Genesis Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL FERREN (DIRECTOR REVENUE CYCLE MANAGEMENT)
(603) 524-1100
Entity
Organization
Contact information
Practice address
40 BEACON ST E, LACONIA, NH 03246-3437
(603) 524-1100
(603) 527-8113
Mailing address
40 BEACON ST E, LACONIA, NH 03246-3437
(603) 524-1100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076838
—
NH
01
—
LAKE663566
ANTHEM
NH
Enumeration date
10/10/2006
Last updated
01/29/2021
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