| Lakes Area Human Services, Inc. | |
|
882 Sw 15th St. Forest Lake MN 55025-1331 | |
| (651) 464-2194 | |
| (651) 464-5744 |
| Full Name | Lakes Area Human Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 882 Sw 15th St., Forest Lake, Minnesota |
| Authorized Official Name and Position | Charlotte Louise Stack (ADMOMNISTRATIVE DIRECTOR) |
| Authorized Official Contact | 6514642194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Area Human Services, Inc. 882 Sw 15th St. Foresst Lake MN 55025-1331 Ph: (651) 464-2194 | Lakes Area Human Services, Inc. 882 Sw 15th St. Forest Lake MN 55025-1331 Ph: (651) 464-2194 |
| NPI Number | 1700956646 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700956646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4454726 (Minnesota) | Primary |
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