Organization
LAKESHORE COMMUNITY SERVICES
Active
Organization
LAKESHORE COMMUNITY SERVICES
Active
Other names
Horizon Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR MOHAMED (BOARD MEMBER)
(612) 388-9124
Entity
Organization
Contact information
Practice address
720 W LAKE ST STE 105, MINNEAPOLIS, MN 55408-2963
(612) 388-9124
Mailing address
720 W LAKE ST STE 105, MINNEAPOLIS, MN 55408-2963
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/18/2022
Last updated
11/22/2024
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