Leech Lake Band of Ojibwe
Leech Lake Band of Ojibwe is a Community/Behavioral Health Agency in Cass Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.
- Licensed in
- MN
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
16123 Grant Utley Ave NWCass Lake, MN 56633
Phone: (218) 335-3050
Fax: (218) 335-4410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X (MN) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence 19439 (MN) |
Record details
| NPI number | 1275823742 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Earl Robinson — Leech Lake Human Services Director · (218) 335-8295 |
| Other names | Leech Lake Behavioral Health; Leech Lake Behavioral Health |
| NPI enumerated | April 18, 2011 |
| Last updated in NPPES | February 28, 2020 |
| Certification date | February 28, 2020 |
| Mailing address | 115 6th Street Nw, Ste. E, Cass Lake, MN 56633 |
Other providers in Cass Lake
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Leech Lake Band of Ojibwe
115 6th St NW, Cass Lake, MN 56633 · (218) 335-8273