Organization
LEECH LAKE BAND OF OJIBWE
Active
Parent organization
LEECH LAKE BAND OF OJIBWE
Other names
Ahnji-Be-Mah-Diz Recovery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEECH LAKE BAND OF OJIBWE
Authorized official
EARL ROBINSON (HUMAN SERVICES DIRECTOR)
(218) 335-8295
Entity
Organization
Contact information
Practice address
16599 69TH AVENUE NW, CASS LAKE, MN 56633
(218) 335-6880
(218) 335-7760
Mailing address
190 SAILSTAR DR NW, CASS LAKE, MN 56633
(218) 335-6880
(218) 335-7760
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/27/2008
Last updated
07/09/2020
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