Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI # | 1790242436 |
| LBN Legal business name | LAKE WELLNESS CENTER, LLC |
| Authorized official | GEORGE ROUSSEL - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/01/2019 |
| Last updated | 11/14/2025 - About 7 months ago |
| Identifiers | n/a |
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LAKE WELLNESS CENTER, LLC
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LAKE WELLNESS CENTER, LLC