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Interlachen Lodge Operated By Interlodge
Community/Behavioral Health Agency in Edina, Minnesota
NPI 1427258599

Interlachen Lodge Operated By Interlodge is a Community/Behavioral Health Agency based in Minneapolis, MN. Interlachen Lodge Operated By Interlodge practices in Edina, MN. The NPI Number for Interlachen Lodge Operated By Interlodge is 1427258599 and holds a License No. 1044976 (Minnesota).

The current practice location address for Interlachen Lodge Operated By Interlodge is 5141 William Ave, Edina, MN and can be reached out via phone at 952-767-0360 and via fax at 952-922-8892.

Location: 5141 William Ave, Edina, MN, 55404-3450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427258599
Provider Name
Interlachen Lodge Operated By Interlodge
Credential
Provider Entity Type
Organization
Address
5141 William Ave, Edina, MN, 55404-3450
Phone Number
952-767-0360
Fax Number
952-922-8892
Provider Enumeration Date
07/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1044976 01 MN DEPT. OF HUMAN SERVICES -
institution
Provider Business Practice Location Address Details
Address
5141 William Ave
City
Edina
State
Minnesota
Zip
55436-2126
Phone Number
952-767-0360
Fax Number
952-922-8892
person
Provider Business Mailing Address Details
Address
5141 William Ave
City
Edina
State
Minnesota
Zip
55436-2126
Phone Number
952-767-0360
Fax Number
952-922-8892
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
1044976 (Minnesota)
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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