| East Lake Alcohol & Drug Program | |
|
36666 State Highway 65 Mcgregor MN 55760 | |
| (218) 768-2431 | |
| (218) 768-2697 |
| Full Name | East Lake Alcohol & Drug Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 36666 State Highway 65, Mcgregor, Minnesota |
| Authorized Official Name and Position | Nicole Anderson (COMMISSIONER OF HEALTH & HUMAN SERV) |
| Authorized Official Contact | 3205324163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Lake Alcohol & Drug Program 18562 Minobimaadizi Loop Onamia MN 56359-3001 Ph: (320) 532-4163 | East Lake Alcohol & Drug Program 36666 State Highway 65 Mcgregor MN 55760 Ph: (218) 768-2431 |
| NPI Number | 1164659652 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 10/14/2021 |
| Certification Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164659652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Lifelong Recovery Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 N Maddy St, Mcgregor, MN 55760 Phone: 218-391-6560 |