National Provider Identifier Database

LEECH LAKE BAND OF OJIBWE
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

LEECH LAKE BAND OF OJIBWE
16599 69TH AVENUE NW
CASS LAKE, MN56633
Phone: 218-335-6880
Fax: 218-335-7760
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LEECH LAKE BAND OF OJIBWE

NPI Number 1801065495
Legal business name
LBN
LEECH LAKE BAND OF OJIBWE
Authorized official EARL ROBINSON - (HUMAN SERVICES DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 02/27/2008
Last updated 07/09/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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