LEECH LAKE OPIATE TREATMENT CENTER

CASS LAKE, MN
NPI1649401357
Entity TypeOrganization
Authorized ContactREBECCA WHITE
Program Manager
218-335-8304
Organization Subpart ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: MN  05125)
Enumeration Date2009-07-29
Last Update Date2009-07-29
Business Address
LEECH LAKE OPIATE TREATMENT CENTER
108 BALSAM LEECH OPIATE TREATMENT CENTER
CASS LAKE, MN 56633-3428
Phone number: 218-335-8304
Mailing Address
LEECH LAKE OPIATE TREATMENT CENTER
115 6TH ST. NW LEECH LAKE BAND OF OJIBWE #E
CASS LAKE, MN 56633-3428
Phone number: 218-335-8200