Lakes Region Chemical Dependency Llc in Bemidji - Rehabilitation, Substance Use Disorder
Lakes Region Chemical Dependency Llc - NPI 1689874562
Lakes Region Chemical Dependency Llc is a Rehabilitation, Substance Use Disorder in Bemidji, Minnesota. Lakes Region Chemical Dependency Llc practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Lakes Region Chemical Dependency Llc is 1689874562. The last update date is 2007-07-19.
Lakes Region Chemical Dependency Llc's current location address is 1510 Bemidji Ave N Ste 13, Bemidji, Minnesota. You can contact this provider via phone number 2184445740 and fax number 2183330241. The mailing address for Lakes Region Chemical Dependency Llc is 1510 Bemidji Ave N Ste 13, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakes Region Chemical Dependency Llc |
|---|---|
| Address | 1510 Bemidji Ave N Ste 13, Bemidji, Minnesota |
| Phone Number | 2184445740 |
| Fax Number | 2183330241 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/TREA |
|---|---|
| Authorized Official Name | Dewey A Jessica |
| Credentials | B.A., LADC |
| Telephone Number | 2184445740 |
NPI Number Detail
| NPI Number | 1689874562 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | 1510 Bemidji Ave N Ste 13 |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566013804 |
| Phone Number | 2184445740 |
| Fax Number | 2183330241 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | 1042531 |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lakes Region Chemical Dependency Llc by the Centers for Medicare & Medicaid Services?
The Lakes Region Chemical Dependency Llc has been issued the NPI (National Provider Identifier) 1689874562 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Lakes Region Chemical Dependency Llc located?
The Lakes Region Chemical Dependency Llc is located at 1510 Bemidji Ave N Ste 13, Bemidji, MN 566013804.
What is the area of specialization for Lakes Region Chemical Dependency Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lakes Region Chemical Dependency Llc is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr0405X.
On what date did the Lakes Region Chemical Dependency Llc receive its 1689874562 assignment from the Centers for Medicare & Medicaid Services?
The Lakes Region Chemical Dependency Llc was assigned its 1689874562 by the Centers for Medicare & Medicaid Services on 2007-07-19.
As of what date was the information pertaining to Lakes Region Chemical Dependency Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lakes Region Chemical Dependency Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-19.
NPI Number: 1982607784
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