Lakes Opioid Treatment Program, INC

NPI #1104374073 in Walker, Minnesota

Provider Information

NPI Number
1104374073
Entity Type
Organization
Organization Name
Lakes Opioid Treatment Program, INC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Sep 20, 2016
Last Updated
Oct 10, 2016

Practice Location

Address
8381 LAKE LAND TRL NW
City
Walker
ZIP Code
56484-2109
Phone
(763) 412-9441

Authorized Official

Name
STEPHANIE DAWN LOSH
Title
CO-OWNER
Phone
(612) 877-2465

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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