Organization Name: | TEN LAKES CENTER, LLC |
NPI Number: | 1801906847 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZYAMA GOLDMAN (CHAIRMAN OF THE BOARD) |
Mailing Address: | 819 N 1st St Dennison |
State: | OH US |
Postal Code: | 446211003 |
Phone Number: | 6154631458 |
Fax Number: | 6154633203 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | PENDING |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |