NORTHERN LAKES CLINIC INC. NPI 1114071420

NPI Information

NORTHERN LAKES CLINIC, INC. is a rehabilitation and substance use disorder clinic center in Bemidji, MN. NORTHERN LAKES CLINIC, INC. NPI is 1114071420. The provider is registered as an organization entity type.
The provider Is Doing Business As Northern Lakes Clinic.

The provider's business location address is:

301 AMERICA AVE NW
BEMIDJI, MN
ZIP 56601-120
Phone: (218) 755-5170
Fax: (218) 751-1194

The provider's authorized official is Lois Cochrane Schlutter .
The authorized official title is Ceo & Owner and has the following contact phone number (952) 925-5344.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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