LEECH LAKE OPIATE TREATMENT PROGRAM

CASS LAKE, MN
NPI1053478164
Entity TypeOrganization
Authorized ContactEARLENE BUFFALO
Program Manager
218-335-8304
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2007-01-02
Last Update Date2020-08-22
Business Address
LEECH LAKE OPIATE TREATMENT PROGRAM
110 BALSAM AVE. NW
CASS LAKE, MN 56633
Phone number: 218-335-4514
Mailing Address
LEECH LAKE OPIATE TREATMENT PROGRAM
115 6TH ST NE SUITE E
CASS LAKE, MN 56633-3428
Phone number: 218-335-4514
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