Leech Lake Opiate Treatment Program
Leech Lake Opiate Treatment Program is a Preferred Provider Organization in Cass Lake, Minnesota. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
110 Balsam Ave NWCass Lake, MN 56633
Phone: (218) 335-4514
Fax: (218) 335-4580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X |
|---|
Record details
| NPI number | 1053478164 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Earlene Buffalo — Program Manager · (218) 335-8304 |
| NPI enumerated | January 2, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 115 6th St Ne, Suite E, Cass Lake, MN 56633-3428 |
Other providers in Cass Lake
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Leech Lake Opiate Treatment Program
110 Balsam Ave NW, Cass Lake, MN 56633 · (218) 335-4514