Spirit Lake Recovery, LLC
NPI #1114168564 in Mc Kenzie, Tennessee
Provider Information
- NPI Number
- 1114168564
- Entity Type
- Organization
- Organization Name
- Spirit Lake Recovery, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 16, 2009
- Last Updated
- Mar 16, 2009
Practice Location
Authorized Official
- Name
- DR. DAN SUMROK, M.D.
- Title
- OWNER
- Phone
- (731) 431-3010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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