Lakes Crisis & Resource Center
Clinic/Center, Mental Health (Including Community Mental Health Center) in Detroit Lakes, MN. Organization (NPI-2).
NPI number1720344286
StatusActive
Last updated in NPPESSep 22, 2014
Details
- NPI
- 1720344286
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakes Crisis & Resource Center
- Organization subpart
- No
- Enumeration date
- Apr 9, 2012
- Last updated
- Sep 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
1339 Pelican LaneDetroit Lakes, MN 56501
Phone 218-847-8572 · Fax 218-847-6113
Mailing address
1339 Pelican LaneDetroit Lakes, MN 56501
Phone 218-847-8572 · Fax 218-847-6113
Authorized official
Janice M Logan
Exec Director
2188478572
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