Organization
LAKES CENTER FOR YOUTH AND FAMILIES
Active
Other names
Lakes Area Youth Service Bureau
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA M MADSEN (EXECUTIVE DIRECTOR)
(651) 464-3685
Entity
Organization
Contact information
Practice address
20 N LAKE STREET, SUITE 103, FOREST LAKE, MN 55025
(651) 464-3685
(651) 464-3687
Mailing address
20 N LAKE STREET, SUITE 103, FOREST LAKE, MN 55025
(651) 464-3685
(651) 464-3687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1179
MN
251S00000X
Community/Behavioral Health Agency
1946
MN
Other
Enumeration date
01/27/2009
Last updated
04/24/2020
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