| NPI | 1114071420 |
|---|---|
| Doing Business As | NORTHERN LAKES CLINIC |
| Entity Type | Organization |
| Authorized Contact | LOIS COCHRANE SCHLUTTER CEO & Owner 952-925-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MN 1045771-1-CDT) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |