OrganizationActive
Lakes Opioid Treatment Program, Inc
NPI 1104374073 · Substance Use Disorder Rehabilitation Clinic/Center · Walker, MN
Provider details
- NPI number
- 1104374073
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Stephanie Losh, Co-Owner
Mailing address
15477 Sodium St Nw
Ramsey, MN 55303-5415
Registry dates
- Enumerated
- 2016-09-20
- Last updated
- 2016-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.