Organization · Type 2 NPI
Leech Lake Band of Ojibwe
Substance Abuse Rehabilitation Facility · Cass Lake, MN
NPI number
1962610824
Active
Practice location
115 Sixth Street Northwest, 6905 161st Street
Cass Lake, MN 56633
Fax (218) 335-8307
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.
Another provider at this address
Other substance abuse rehabilitation facility providers in Cass Lake
About NPI 1962610824
Leech Lake Band of Ojibwe's National Provider Identifier is 1962610824, issued on May 21, 2007. 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 Aug 22, 2020.