Organization
LAKEWOOD HEALTH SYSTEM
Active
Other names
Northern Pines Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J RACH MS (COUNSELOR)
(218) 640-1992
Entity
Organization
Contact information
Practice address
401 PRAIRIE AVE. N., 49725 CO. HWY 83, STAPLES, MN 56479
(218) 894-8204
(218) 894-8219
Mailing address
401 PRAIRIE AVE. N., 49725 CO. HWY 83, STAPLES, MN 56479
(218) 894-8204
(218) 894-8219
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
CC00293
MN
282NC0060X
Critical Access Hospital
CC00293
MN
302R00000X
Health Maintenance Organization
CC00293
MN
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
Update your record
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