Organization · Type 2 NPI

The Blue Lotus, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Fergus Falls, MN

NPI number 1760944615 Active

Practice location

225 W Cavour Ave Ste C
Fergus Falls, MN 56537-2140

Mailing address

31255 153rd Ave
Elizabeth, MN 56533-9562

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1760944615

The Blue Lotus, LLC's National Provider Identifier is 1760944615, issued on Apr 1, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fergus Falls, MN. The record was last updated on Apr 1, 2019.