Auburn Lake Academy Corporation

NPI #1871040485 in Victoria, Minnesota

Provider Information

NPI Number: 1871040485
Entity Type: Organization
Organization Name: Auburn Lake Academy Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: CLINICARE CORPORATION
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 7600 VICTORIA DR
City: Victoria
State: Minnesota
ZIP Code: 55386-9792
Phone: (715) 559-8770

Authorized Official

Name: CHARLES WILLIAM ANGER
Title: VICE PRESIDENT
Phone: (715) 559-8770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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