Interlachen Lodge Operated by Interlodge
Interlachen Lodge Operated by Interlodge is a Community/Behavioral Health Agency in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
Practice location Address checks out
5141 William AveEdina, MN 55436-2126
Phone: (952) 767-0360
Fax: (952) 922-8892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 1044976 (MN) |
|---|
Record details
| NPI number | 1427258599 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Trepp — Executive Director · (612) 871-3320 |
| NPI enumerated | July 18, 2007 |
| Last updated in NPPES | July 18, 2007 |
| Mailing address | 2419 Nicollet Ave, Minneapolis, MN 55404-3450 |
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