| NPI | 1750435459 |
|---|---|
| Doing Business As | NORTHERN LAKES CLINIC |
| Entity Type | Organization |
| Authorized Contact | LOIS COCHRANE SCHLUTTER CEO & Owner 952-925-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |