BIG LAKE COUNTRY CLUB, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · HOUSTON, AK

Organization Active NPI 1639497415

Taxonomy & licensure

Specialty	Code	Primary	License	State
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	✓	940288	AK
Case Management Agency	251B00000X		CMG	AK
Community/Behavioral Health Agency	251S00000X		HCS	AK

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.