Organization
LEECH LAKE BAND OF OJIBWE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE ROBINSON (HUMAN SERVICES DIRECTOR)
(218) 335-8295
Entity
Organization
Contact information
Practice address
113 7TH STREE NW, CASS LAKE, MN 56633
(218) 335-8308
(218) 335-8307
Mailing address
115 6TH STREET NW, SUITE E, CASS LAKE, MN 56633
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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