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Organization
LAKE REGION BEHAVIORAL HEALTH CLINIC
Active
Organization
LAKE REGION BEHAVIORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA AUKLAND (ASSISTANT CFO - DHS)
(701) 328-4924
Entity
Organization
Contact information
Practice address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Mailing address
200 HIGHWAY 2 W, DEVILS LAKE, ND 58301-3532
(701) 665-2200
(701) 665-2300
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1013
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054518
—
ND
01
—
159001
BCBS GROUP ID
ND
01
—
CG8826
RAILROAD MEDICARE ID
ND
Enumeration date
06/05/2006
Last updated
05/20/2026
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