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Leech Lake Band of Ojibwe

Organization Active NPI Substance Abuse Rehabilitation Facility · Cass Lake, MN

NPI 1801065495 · NPPES record last updated Jul 9, 2020

Key facts

NPI
1801065495
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
LEECH LAKE BAND OF OJIBWE
Practice address
16599 69TH Avenue NW
Cass Lake, MN 56633
Phone
(218) 335-6880
Fax
(218) 335-7760
NPI assigned
Feb 27, 2008
Organization subpart
Yes
Parent organization (as reported)
LEECH LAKE BAND OF OJIBWE

Authorized official

Name
Earl Robinson
Title
Human Services Director
Phone
(218) 335-8295

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Leech Lake Opiate Treatment Center (19 organizations share this tax ID)
Part of
Leech Lake Opiate Treatment Center

Locations

16599 69th Ave NW
Cass Lake, MN 56633
Phone (218) 335-6880

16427 69th Ave NW
Cass Lake, MN 56633

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

16599 69TH Avenue NW
Cass Lake, MN 56633

Mailing address

190 Sailstar Dr NW
Cass Lake, MN 56633
Phone (218) 335-6880

Other names

  • Ahnji-Be-Mah-Diz Recovery Center Doing business as

Other providers in Cass Lake, MN

All providers in Cass Lake, MN · Substance Abuse Rehabilitation Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.