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The Lakes At Black Creek
Substance Abuse Rehabilitation Facility in Copperopolis, California
NPI 1427582725

The Lakes At Black Creek is a Substance Abuse Rehabilitation Facility based in Copperopolis, CA. The Lakes At Black Creek practices in Copperopolis, CA. The NPI Number for The Lakes At Black Creek is 1427582725 and holds a License No. 050005BP (California).

The current practice location address for The Lakes At Black Creek is 88 Sanguinetti Ct, Copperopolis, CA and can be reached out via phone at 209-325-8506.

Location: 88 Sanguinetti Ct, Copperopolis, CA, 95228-9761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427582725
Provider Name
The Lakes At Black Creek
Credential
Provider Entity Type
Organization
Address
88 Sanguinetti Ct, Copperopolis, CA, 95228-9761
Phone Number
209-325-8506
Fax Number
Provider Enumeration Date
04/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
88 Sanguinetti Ct
City
Copperopolis
State
California
Zip
95228-9459
Phone Number
209-325-8506
Fax Number
person
Provider Business Mailing Address Details
Address
88 Sanguinetti Ct
City
Copperopolis
State
California
Zip
95228-9459
Phone Number
209-325-8506
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
050005BP (California)
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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