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
115 SIXTH STREET NORTHWEST
6905 161ST STREET
CASS LAKE, MN56633
Phone: 218-335-8303
Fax: 218-335-8307
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LEECH LAKE BAND OF OJIBWE

NPI Number 1962610824
Legal business name
LBN
LEECH LAKE BAND OF OJIBWE
Authorized official GEORGE GOGGLEYE - (CHAIRMAN)
Entity Organization
Organization subpart No
Enumeration date 05/21/2007
Last updated 08/22/2020 - 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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