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Lake Region Human Service Center
Substance Use Disorder Rehabilitation Clinic/Center in Devils Lake, North Dakota
NPI 1669411930

Lake Region Human Service Center is a Substance Use Disorder Rehabilitation Clinic/Center based in Devils Lake, ND and is specialized in Rehabilitation, Substance Use Disorder. Lake Region Human Service Center practices in Devils Lake, ND. The NPI Number for Lake Region Human Service Center is 1669411930 and holds a License No. (North Dakota).

The current practice location address for Lake Region Human Service Center is 200 Highway 2 W, Devils Lake, ND and can be reached out via phone at 701-665-2200 and via fax at 701-665-2300.

Location: 200 Highway 2 W, Devils Lake, ND, 58301-3532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669411930
Provider Name
Lake Region Human Service Center
Credential
Provider Entity Type
Organization
Address
200 Highway 2 W, Devils Lake, ND, 58301-3532
Phone Number
701-665-2200
Fax Number
701-665-2300
Provider Enumeration Date
06/05/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG8826 01 ND RAILROAD MEDICARE ID
159001 01 ND BCBS GROUP ID
054518 05 ND
institution
Provider Business Practice Location Address Details
Address
200 Highway 2 W
City
Devils Lake
State
North Dakota
Zip
58301-3532
Phone Number
701-665-2200
Fax Number
701-665-2300
person
Provider Business Mailing Address Details
Address
200 Highway 2 W
City
Devils Lake
State
North Dakota
Zip
58301-3532
Phone Number
701-665-2200
Fax Number
701-665-2300
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
1013 (North Dakota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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