Lake Region Therapeutic Services INC

NPI #1114484847 in Hopkins, Minnesota

Provider Information

NPI Number
1114484847
Entity Type
Organization
Organization Name
Lake Region Therapeutic Services INC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Feb 28, 2019
Last Updated
Sep 13, 2023

Practice Location

Address
1007 MAINSTREET
ZIP Code
55343-7517
Phone
(952) 456-6352

Authorized Official

Name
ABDIRAZAQ IBRAHIM
Title
OWNER
Phone
(602) 323-4873

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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