Provider Demographics
NPI:1316652944
Name:LAGO MANAGEMENT INC
Entity type:Organization
Organization Name:LAGO MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-621-7697
Mailing Address - Street 1:1800 E YELLOWSTONE PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-2851
Mailing Address - Country:US
Mailing Address - Phone:978-621-7697
Mailing Address - Fax:
Practice Address - Street 1:3377 S PRICE RD STE 107
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-3578
Practice Address - Country:US
Practice Address - Phone:480-725-8477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty