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Great Lake Care Llc
Community/Behavioral Health Agency in Golden Valley, Minnesota
NPI 1356951255

Great Lake Care Llc is a Community/Behavioral Health Agency based in Brooklyn Park, MN. Great Lake Care Llc practices in Golden Valley, MN. The NPI Number for Great Lake Care Llc is 1356951255 and holds a License No. (Minnesota).

The current practice location address for Great Lake Care Llc is 1710 Douglas Dr N Ste 224E, Golden Valley, MN and can be reached out via phone at 763-221-2102. You can also correspond with Great Lake Care Llc through the mailing address at 7549 EMERSON AVE N, BROOKLYN PARK, MN - 55444-2539 (mailing address contact number: 763-221-2102).

Location: 1710 Douglas Dr N Ste 224E, Golden Valley, MN, 55444-2539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356951255
Provider Name
Great Lake Care Llc
Credential
Provider Entity Type
Organization
Address
1710 Douglas Dr N Ste 224E, Golden Valley, MN, 55444-2539
Phone Number
763-221-2102
Fax Number
Provider Enumeration Date
08/05/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6931842 05 MN
institution
Provider Business Practice Location Address Details
Address
1710 Douglas Dr N Ste 224E
City
Golden Valley
State
Minnesota
Zip
55422-4350
Phone Number
763-221-2102
Fax Number
person
Provider Business Mailing Address Details
Address
7549 Emerson Ave N
City
Brooklyn Park
State
Minnesota
Zip
55444-2539
Phone Number
763-221-2102
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
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Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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