Lakes Region Chemical Dependency LLC

NPI #1689874562 in Bemidji, Minnesota

Provider Information

NPI Number
1689874562
Entity Type
Organization
Organization Name
Lakes Region Chemical Dependency LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Jul 19, 2007
Last Updated
Jul 19, 2007

Practice Location

Address
1510 BEMIDJI AVE N STE 13
ZIP Code
56601-3804
Phone
(218) 444-5740

Authorized Official

Name
JESSICA A DEWEY, B.A., LADC
Title
OWNER/TREATMENT DIRECTOR
Phone
(218) 444-5740

Specialties & Taxonomy Codes

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

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