Organization
LEECH LAKE BAND OF OJIBWE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSE ROBINSON (HUMAN SERVICES DIRECTOR)
(218) 335-8295
Entity
Organization
Contact information
Practice address
115 6TH STREET NW, CASS LAKE, MN 56633
(218) 335-8273
(218) 335-8352
Mailing address
115 6TH STREET NW, CASS LAKE, MN 56633
(218) 335-8352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
201102
MN
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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