Organization · Type 2 NPI
Lakes Opioid Treatment Program, Inc
Substance Use Disorder Rehabilitation Clinic/Center · Walker, MN
NPI number
1104374073
Active
Practice location
8381 Lake Land Trl NW
Walker, MN 56484-2109
Mailing address
15477 Sodium St NW
Ramsey, MN 55303-5415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1104374073
Lakes Opioid Treatment Program, Inc's National Provider Identifier is 1104374073, issued on Sep 20, 2016. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Walker, MN. The record was last updated on Oct 10, 2016.