LAKE SHORE TREATEMENT CENTER LLC

MAHTOMEDI, MN
NPI1023430519
Entity TypeOrganization
Authorized ContactPAULA A NELSON
CFO
612-326-7600
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: MN  1067244)
Enumeration Date2014-01-17
Last Update Date2014-01-17
Business Address
LAKE SHORE TREATEMENT CENTER LLC
140 QUAIL ST
MAHTOMEDI, MN 55115-1941
Phone number: 612-326-7600
Mailing Address
LAKE SHORE TREATEMENT CENTER LLC
550 MAIN ST STE 230
NEW BRIGHTON, MN 55112-3274
Phone number: 612-326-7600