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1578627451
LEECH LAKE OPIATE TREATMENT PROGRAM
CASS LAKE, MN
NPI
1578627451
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Entity Type
Organization
Authorized Contact
EARLENE BUFFALO
Program Manager
218-335-8304
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2006-12-21
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
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Mailing Address
LEECH LAKE OPIATE TREATMENT PROGRAM
115 6TH ST. NW SUITE E
CASS LAKE, MN 56633
Phone number: 218-335-4514
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LEECH LAKE OPIATE TREATMENT PROGRAM