| Leech Lake Band Of Ojibwe | |
|
115 6th Street Nw Cass Lake MN 56633 | |
| (218) 335-8273 | |
| (218) 335-8352 |
| Full Name | Leech Lake Band Of Ojibwe |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 115 6th Street Nw, Cass Lake, Minnesota |
| Authorized Official Name and Position | Rose Robinson (HUMAN SERVICES DIRECTOR) |
| Authorized Official Contact | 2183358295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leech Lake Band Of Ojibwe 115 6th Street Nw Cass Lake MN 56633 Ph: () - | Leech Lake Band Of Ojibwe 115 6th Street Nw Cass Lake MN 56633 Ph: (218) 335-8273 |
| NPI Number | 1659679843 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 03/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659679843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 201102 (Minnesota) | Primary |
Leech Lake Outpatient Treatment Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6095 161st Ave Nw, Cass Lake, MN 56633 Phone: 218-335-8308 Fax: 218-335-8307 | |
Leech Lake Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16123 Grant Utley Ave Nw, Cass Lake, MN 56633 Phone: 218-335-3050 Fax: 218-335-4410 | |
Leech Lake Women's Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Balsom Ave Nw, Cass Lake, MN 56633 Phone: 218-335-3560 Fax: 218-335-2482 |