Auburn Lake Academy Corporation

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

AUBURN LAKE ACADEMY CORPORATION

Practice address

7600 Victoria Dr
Victoria, MN 55386-9792

Phone

(715) 559-8770

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

CLINICARE CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles William Anger

Title

Vice President

Phone

(715) 559-8770

Specialties & licenses 1

Addresses

Part of

Eau Claire Academy HC2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1871040485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 VICTORIA DR",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553869792",
            "telephone_number": "715-559-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 VICTORIA DR",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553869792",
            "telephone_number": "715-559-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN LAKE ACADEMY CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICARE CORPORATION",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "ANGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "715-559-8770"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristine Marie Beer, SLP

• Mental Illness Community Based Residential Treatment Facility in Victoria, MN
• Providers in Victoria, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.