The Lakes at Black Creek
NPI #1427582725 in Copperopolis, California
Provider Information
- NPI Number
- 1427582725
- Entity Type
- Organization
- Organization Name
- The Lakes at Black Creek
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE LAKES TREATMENT CENTER INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 13, 2017
- Last Updated
- Nov 9, 2017
Practice Location
- Address
- 88 SANGUINETTI CT
- City
- Copperopolis
- State
- California
- ZIP Code
- 95228-9459
- Phone
- (209) 325-8506
Authorized Official
- Name
- NICHOLAS J MCNULTY
- Title
- COMPLIANCE DIRECTOR
- Phone
- (209) 768-5871
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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