Organization · Type 2 NPI

Leech Lake Band of Ojibwe

Substance Abuse Rehabilitation Facility · Cass Lake, MN

NPI number 1831468479 Active

Practice location

113 7th Stree NW
Cass Lake, MN 56633

Fax (218) 335-8307

Mailing address

115 6th Street NW, Suite E
Cass Lake, MN 56633

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

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About NPI 1831468479

Leech Lake Band of Ojibwe's National Provider Identifier is 1831468479, issued on Dec 28, 2011. 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 Dec 28, 2011.