Organization
LAKES AREA HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARLOTTE LOUISE STACK RN, CNS,ARNP (ADMOMNISTRATIVE DIRECTOR)
(651) 464-2194
Entity
Organization
Contact information
Practice address
882 SW 15TH ST., FOREST LAKE, MN 55025-1331
(651) 464-2194
(651) 464-5744
Mailing address
882 SW 15TH ST., FORESST LAKE, MN 55025-1331
(651) 464-2194
(651) 464-5744
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4454726
MN
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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