Leech Lake Opiate Treatment Center

Organization Health Maintenance Organization · NPI 1649401357

Leech Lake Opiate Treatment Center is a Health Maintenance Organization in Cass Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2009.

Licensed in: MN
In the registry since: 2009

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Practice location Address checks out

108 Balsam Leech Opiate Treatment Ctr
Cass Lake, MN 56633-3428
Phone: (218) 335-8304
Fax: (218) 335-4580

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary)	Taxonomy 302R00000X · Licence 05125 (MN)

Record details

NPI number	1649401357
Entity type	Organization (Type 2)
Organization subpart	Yes
Parent organization	Leech Lake Band of Ojibwe
Authorized official	Rebecca White — Program Manager · (218) 335-8304
NPI enumerated	July 29, 2009
Last updated in NPPES	July 29, 2009
Mailing address	115 6th St. Nw, Leech Lake Band Of Ojibwe #E, Cass Lake, MN 56633-3428