NPI Lookup
NPPES Search
Providers by State
Blog
Home
1053478164
LEECH LAKE OPIATE TREATMENT PROGRAM
CASS LAKE, MN
NPI
1053478164
Copy
Entity Type
Organization
Authorized Contact
EARLENE BUFFALO
Program Manager
218-335-8304
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2007-01-02
Last Update Date
2020-08-22
Business Address
LEECH LAKE OPIATE TREATMENT PROGRAM
110 BALSAM AVE. NW
CASS LAKE, MN 56633
Phone number: 218-335-4514
Copy
Mailing Address
LEECH LAKE OPIATE TREATMENT PROGRAM
115 6TH ST NE SUITE E
CASS LAKE, MN 56633-3428
Phone number: 218-335-4514
Copy
Similar providers in Cass Lake, MN
LEECH LAKE OPIATE TREATMENT PROGRAM