The Lakes at Black Creek
The Lakes at Black Creek is a Substance Abuse Rehabilitation Facility in Copperopolis, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
88 Sanguinetti CtCopperopolis, CA 95228-9459
Phone: (209) 325-8506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 050005BP (CA) |
|---|
Record details
| NPI number | 1427582725 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | The Lakes Treatment Center Inc |
| Authorized official | Nicholas McNulty — Compliance Director · (209) 768-5871 |
| NPI enumerated | April 13, 2017 |
| Last updated in NPPES | November 9, 2017 |
| Mailing address | 7260 Obyrnes Ferry Rd, Copperopolis, CA 95228-9761 |
Other providers in Copperopolis
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The Lakes Treatment Center
7260 Obyrnes Ferry Rd, Copperopolis, CA 95228-9761 · (209) 325-8506