Organization · Type 2 NPI

Leech Lake Band of Ojibwe

Substance Abuse Rehabilitation Facility · Cass Lake, MN

NPI number 1801065495 Active

Practice location

16599 69th Avenue NW
Cass Lake, MN 56633

Call (218) 335-6880 Map

Fax (218) 335-7760

Mailing address

190 Sailstar Dr NW
Cass Lake, MN 56633

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Other substance abuse rehabilitation facility providers in Cass Lake

See all in Cass Lake →

NPI record

NPI: 1801065495
Entity type: Organization (Type 2)
Issued: Feb 27, 2008
Last updated: Jul 9, 2020
Status: Active
Subpart: Yes of Leech Lake Band of Ojibwe

Other names

<unavail>
Ahnji-Be-Mah-Diz Recovery Center · doing business as

Authorized official

Earl Robinson
Human Services Director
(218) 335-8295

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1801065495

Leech Lake Band of Ojibwe's National Provider Identifier is 1801065495, issued on Feb 27, 2008. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Cass Lake, MN. The record was last updated on Jul 9, 2020.