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Lake Shore Treatement Center Llc
Substance Abuse Rehabilitation Facility in Mahtomedi, Minnesota
NPI 1023430519

Lake Shore Treatement Center Llc is a Substance Abuse Rehabilitation Facility based in New Brighton, MN. Lake Shore Treatement Center Llc practices in Mahtomedi, MN. The NPI Number for Lake Shore Treatement Center Llc is 1023430519 and holds a License No. 1067244 (Minnesota).

The current practice location address for Lake Shore Treatement Center Llc is 140 Quail St, Mahtomedi, MN and can be reached out via phone at 612-326-7600.

Location: 140 Quail St, Mahtomedi, MN, 55112-3274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023430519
Provider Name
Lake Shore Treatement Center Llc
Credential
Provider Entity Type
Organization
Address
140 Quail St, Mahtomedi, MN, 55112-3274
Phone Number
612-326-7600
Fax Number
Provider Enumeration Date
01/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 Quail St
City
Mahtomedi
State
Minnesota
Zip
55115-1941
Phone Number
612-326-7600
Fax Number
person
Provider Business Mailing Address Details
Address
140 Quail St
City
Mahtomedi
State
Minnesota
Zip
55115-1941
Phone Number
612-326-7600
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
1067244 (Minnesota)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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