Organization · Type 2 NPI
Northern Lakes Clinic, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Bemidji, MN
NPI number
1114071420
Active
Practice location
301 America Ave NW
Bemidji, MN 56601-3120
Fax (218) 751-1194
Mailing address
6200 Excelsior Blvd, Suite 202
St. Louis Park, MN 55416-2730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 1045771-1-CDT (MN) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
Other substance use disorder rehabilitation clinic/center providers in Bemidji
About NPI 1114071420
Northern Lakes Clinic, Inc.'s National Provider Identifier is 1114071420, issued on Jan 23, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Bemidji, MN. The record was last updated on Aug 22, 2020.