| Specialty | Taxonomy Code | |
|---|---|---|
| * | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X |
* Indicates primary specialty
| NPI Number | 1386107746 |
| Legal business name LBN |
SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER |
| Authorized official | JUDITH SIKORA - (CHIEF FINANCIAL OFFICER) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 04/11/2019 |
| Last updated | 04/11/2019 - About 7 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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