Organization
LAKELAND RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SYLTIE (PRESIDENT)
(612) 280-1012
Entity
Organization
Contact information
Practice address
3427 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-1221
(612) 788-9757
Mailing address
3306 ROLLING HILLS DR, EAGAN, MN 55121-2345
(612) 280-1012
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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